How to Fight Diabetes and Win Preventing Nerve Damage
PREVENTING NERVE DAMAGE You can help prevent diabetes-related nerve damage by keeping your blood sugars within your target range.
Diabetes and Nerve Damage Diabetes can cause nerve damage called neuropathy. Nerve cells are like insulated wires. When blood sugar levels remain high, the insulation of the nerves can be damaged, slowing down the sending of signals. Over time, the nerves are unable to send signals through the body the way they should, which can lead to a number of problems especially in the feet and lower legs or with sexual function. Signs of Nerve Damage Nerve damage can happen slowly, and you might not notice that you are beginning to lose feeling in your feet or hands. Symptoms of diabetes-related nerve damage may come and go. Symptoms may be less severe and less noticeable when blood sugar levels are within your target range. Some signs of diabetes-related nerve damage that you should be aware of include: Tingling, burning, aching or throbbing in the feet or lower legs Numbness in feet, lower legs or hands No pain felt from cuts, bruises or injuries to feet or hands Abdominal pain Bloating Early feeling of fullness when eating Constipation Nausea and vomiting Diarrhea that will not stop Having low blood sugar after a meal and later high blood sugar Urinating less frequently Loss of balance Impotence Pain during sexual intercourse Decreased response to light (vision) Unable to feel symptoms of low blood sugar Feeling dizzy when standing up Fixed heart rate Decreased sweating.º
Preventing or Delaying Nerve Damage A 10-year study of people with type 1 diabetes called the Diabetes Control and Complications Trial (DCCT) concluded that improved control of blood sugar could postpone and slow the development of diabetes complications, including nerve damage. Good blood sugar control may reduce diabetes-related nerve damage by up to 60%. Practicing the following precautions will help to prevent nerve damage: Maintain good control of blood sugar levels. Discuss your target range with your doctor or diabetes care team. Prevent low blood sugar as much as possible. Lower your blood pressure, if high, to less than 130/80 mmhg. Stop smoking! Smoking can damage nerve cells. Do a daily foot check to look for redness, blisters, cuts, calluses, or changes in your feet. Call your doctor or diabetes care team member if you see any changes in your feet. Get ACTIVE! Moderate daily activity will increase blood flow to your feet and hands. See your doctor or diabetes care team member every 3-4 months to keep your diabetes in control. Report any nerve damage symptoms to your doctor or diabetes care team. See a urologist. When sitting, rise slowly to standing position. Use caution when driving at night. Prevent falls as much as possible. Avoid high heat whenever possible. Urinate regularly (about every 2 hours). Know the signs and symptoms of a urinary infection. Treating Nerve Damage There are many treatments for diabetes-related nerve damage, including controlling your blood sugar, meal planning, and medication therapy, if necessary. If you are experiencing any symptoms of nerve damage, tell your doctor or diabetes care team so that you can get the help you need.
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