Do I have diabetic neuropathy? How can this website help?

The answer to the question “Do I have diabetic neuropathy?” is not always straight-forward. There are many other conditions that can cause similar symptoms and signs. A medical specialist can usually help answer this question for you based on your symptoms, examination signs and test results. But you too play a critical role in passing along the relevant information to your doctor to help in making the right diagnosis, and in understanding your condition. Also, you are your own best advocate and it makes sense for you to be a well-informed patient about your condition. Say for example your house needed some repairs. Would you spend your hard-earned money on repair work on your house without first learning as much as you can about the problem and the options to solve the problem. Similarly, it makes sense for patients with neuropathy (or any medical condition) to do the research so that they can ask the appropriate questions and stay actively informed informed about their medical condition. This can definitely translate into an accurate diagnosis and better treatment of the problem. WE ARE HERE TO HELP. This website can help in several ways.

1. Understand ‘What is diabetic neuropathy’ by reading the article on this topic. Then you will be able to better participate in the discussion about neuropathy with your doctor, and will also understand many of the medical terms used in your medical reports, books, websites, discussions, etc.

2. Learn about the different types of diabetic neuropathy and the symptoms, then compare with your own situation. You can find this information in the article ‘What are the different types of diabetic neuropathy’ and ‘Symptoms of diabetic neuropathy’.

3. If you would like to understand what your doctor looks for when he/she examines you, then you can read about the different signs that can appear when someone has neuropathy and what each sign means. You can even look to see if you have these signs before you see the doctor.

4. Do you need additional testing? What types of tests are performed when diabetic neuropathy is suspected and when should they be performed? Do all patients suspected to have diabetic neuropathy have all those tests performed? Answers to these questions can be found in the several  articles about the various tests in the ‘Tests and Diagnosis’ section.

5. Finally, I am sure you will be interested in knowing the different treatment options. But do all types of neuropathy need treatment? Can the symptoms of neuropathy just get better on their own? For the more troublesome and painful types of neuropathy, is medication the only options or are there non-medication options as well? Before discussing treatment with your doctor, we strongly recommend that you make yourself aware of the ENTIRE RANGE of treatments available, so that you can ask your doctor why they are recommending certain treatments and not others,and what will be the entire plan of treatment for you.

Conclusion

Knowledgeable patients who have made the effort to learn more about their condition, tend make better and more informed decisions about their care. Although there is no replacement for a face-to-face consultation, examination and sometimes additional testing under the supervision of a medical specialist, it is also important to be informed and aware of the various symptoms, signs, diagnostic tests and then the treatment options.

What is diabetic neuropathy? Why does diabetes cause nerve pain?

Introduction
Diabetes mellitus has become one of the commonest chronic medical conditions affecting people everywhere today. Unfortunately, diabetes is associated with several possible medical ‘complications’. One of these complications is damage to nerves called ‘neuropathy’ (neuro=nerves, pathy=disorder). Neuropathy can often be prevented, delayed and even controlled with good blood glucose control. However, when severe, special treatments are required to help with the symptoms of neuropathy.

This article will first discuss the normal role of nerves in the body. Then we will see what happens when nerves malfunction. This will be followed by a discussion of how and why nerves get damaged in diabetes. You can also find detailed articles about various treatments for neuropathy by browsing this website.

What is the normal function of nerves in the body?
The human body is very complex. Just for the purpose of this discussion, let us compare a robot to the human body (the human body is far more complex and sophisticated than a robot, but we are making this example just for learning and understanding reasons, so please do not be offended by this comparison). This robot’s name is Su-man. There is a central super-computer that controls Su-man’s every function and movement. There are wires that runs between this super-computer and every other part of Su-man’s body: its arms, legs, eye-cameras, etc. Su-man is a very advanced robot. If something bumps into it or someone touches it, that sensation is carried by special ‘sensory’ (sensation) wires to the super-computer in its head. There are also different wires that run from the brain to Su-man’s arms and legs that can tell the arms and legs to move so that Su-man can run away or defend itself from danger. These wires are called ‘motor’ (movement-controlling) wires.

As you guessed, in the case of the human body, the super-computer is the brain. The ‘sensory wires’ that carry sensations like touch, temperature, position of an arm or leg in space, etc are called ‘sensory nerves” which run from the arms, legs, and other parts of the body to the brain. The ‘motor wires’ are that carry instructions from the brain to the arms and legs telling them to move, are called ‘motor nerves’. There are other types of nerves too which carry information to the brain, or instructions from the brain that help control functions like sweating, blood circulation, hormones release, digestion, sexual function, urination, bowel or stool movement, etc.

What happens when nerves are damaged in the body? What are the symptoms of diabetic neuropathy?
As you have seen in the paragraph above, different types of nerves help control body function. Certain nerves carry sensations like touch, temperature, and position of an arm or leg in space. When these ‘sensory’ nerves are affected or damaged, the effects can be numbness, tingling, incoordination, clumsiness, increased risk of falls and bumping into things. Damage to these nerves can also alter the sensation being carried by these nerves. So for example, instead of carrying light touch sensation from the feet to the brain, the damaged nerves carry wrong signals to the brain which make that sensation feel like pain instead of touch. This is the reason why some people with diabetes find it so painful to wear socks, or even have a bed sheet touch their feet.

Similarly, when nerves carrying movement or motor signals to muscles get damaged, the effects are weakness in the feet, legs, hands or arms. This can affect functions like writing, lifting, standing, walking, etc.

Diabetic neuropathy can also affect nerves which help coordinate other functions in the body like nerves that help control blood circulation, hormones release, digestion, sexual function, urination, bowel or stool movement, etc. For example, diabetic neuropathy can affect the nerves controlling vision, which can cause blurring of vision. When severe, loss of vision can occur, but this can often be prevented by following the Preventive measures discussed elsewhere in this website. When diabetic neuropathy affects the stomach, it is often called diabetic gastroparesis. There is slowing of stomach emptying, and effects on digestion and intestine function.

How and why does diabetes damage nerves in the body?
The exact reason for damage to nerves due to diabetes has never been proven. What scientists and medical research have proven is that there is a direct relationship between high blood glucose and neuropathy. This means that medical research has shown that people who have high blood glucose levels tend to develop neuropathy earlier and to a more severe degree than people who have closer to normal levels of blood glucose. When the blood glucose is better controlled or brought closer to normal, the effects of neuropathy decrease and there is also less spread or worsening of neuropathy. This implies that it is either the higher than normal blood glucose itself, or certain chemicals in the body affected by high blood glucose that cause the damage to nerves in the body. It is also known that diabetes affects blood circulation in the body. Nerves need nourishment from blood just like most other organs and parts of the body. Very tiny blood vessels carry blood to the various nerves in the body. Poorly controlled diabetes can cause narrowing of these blood vessels affecting the blood supply to the various nerves. When nerves do not receive adequate blood supply, they start to malfunction.

We hope this article was helpful in understanding the normal function of nerves in the body, how diabetes affects nerves, and answered your question “What is diabetic neuropathy.” For additional information about symptoms, how to prevent or better control neuropathy symptoms, diagnosis, reviews of various treatments and options, please browse the other topics and articles on this website. Thank you for reading.

Welcome to Diabetes Foot Pain Relief.com

We know your time is valuable. We understand that if you are visiting this website, chances are that you are in pain. Or may be you are concerned about your own or your loved one’s medical condition- diabetes and its potential serious effects on our feet. We want to provide you with the highest quality information about everything related to diabetic foot pain, diabetic neuropathy and nerve pain, and other causes of foot pain. There is a great deal of information about these diabetes topics on the internet, but it is either incomplete, inaccurate, difficult to understand or just scattered over various different websites. We wanted to create a website which would be a ‘one stop resource’ for all topics related to effects of diabetes on the feet. Notice the larger than usual font used on this website? We specifically have a larger font on this website to make it easier for people with diabetic retinopathy and other eye issues to be able to read the content. We are very excited about being able to provide this service, and hope you will find it very useful to understand, prevent or treat these complications from diabetes.