(Nerve Damage of Diabetes)
|Nerves of the Foot|
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- Metabolic syndrome—A condition marked by elevated blood pressure, cholesterol, blood glucose, and body weight. Excess weight centered around the midsection is of particular concern.
- Damage to blood vessels
- Autoimmune factors
- Numbness , tingling, or pain in the extremities
- Weakness in arms and or legs
- Nausea or vomiting
- Diarrhea or constipation
- Urination problems
- Impotence or vaginal dryness
- Weakness of facial muscles resulting in drooping eyelid, drooping mouth, facial droop, difficulty swallowing
- Muscle cramps
- A prolonged feeling of fullness after eating, and/or abdominal pain
- Decreased ability to sweat normally
- Nerve conduction studies
- Quantitative sensory testing—the use of stimuli to check for neuropathy
- Quantitative sudomotor axon reflex test—a test to evaluate the nerve supply of sweat glands
Blood Glucose Management
American Diabetes Association http://www.diabetes.org
National Institute of Diabetes and Digestive and Kidney Diseases http://www.niddk.nih.gov
Canadian Diabetes Association http://www.diabetes.ca
Health Canada http://www.hc-sc.gc.ca
Diabetic neuropathies: the nerve damage of diabetes. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://www.niddk.nih.gov/health-information/health-topics/Diabetes/diabetic-neuropathies-nerve-damage-diabetes/Pages/diabetic-neuropathies-nerve-damage.aspx. Updated November 26, 2013. Accessed September 8, 2015.
Diabetic peripheral neuropathy. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 13, 2015. Accessed September 8, 2015.
England JD, Gronseth GS, Franklin G, et al. Practice Parameter: Evaluation of distal symmetric polyneuropathy: role of laboratory and genetic testing (an evidence-based review). Neurology. 2009;72(2):185-192.
Ogawa K, Sasaki H, Yamasaki H, et al. Peripheral nerve functions may deteriorate parallel to the progression of microangiopathy in diabetic patients. Nutr Metab Cardiovasc Dis. 2006;16(5):313-321.
Types of peripheral neuropathy: pre-diabetic/diabetic University of Chicago Center for Peripheral Neuropathy website. Available at: http://peripheralneuropathycenter.uchicago.edu/learnaboutpn/typesofpn/diabetes/diabetes.shtml. Accessed September 19, 2014.
Vinik AI, Mehrabyan A. Diabetic neuropathies. Med Clin North Am. 2004;88(4):947-999.
2/4/2010 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Dubinsky RM, Miyasaki J. Assessment: efficacy of transcutaneous electric nerve stimulation in the treatment of pain in neurologic disorders (an evidence-based review): report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology. 2010;74(2):173-176.
6/16/2015 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Macaré van Maurik JF, Oomen RT, et al. The effect of lower extremity nerve decompression on health-related quality of life and perception of pain in patients with painful diabetic polyneuropathy: a prospectrive randomized trial. Diabet Med. 2015;32(6):803-809.
- Reviewer: Kim Carmichael, MD
- Review Date: 09/2015 -
- Update Date: 09/08/2015 -