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Understanding Diabetic Neuropathy: Causes, Symptoms, and Treatment Options

An illustration depicting the effects of diabetic neuropathy, with a blue human figure surrounded by red and orange nerve-like structures representing nerve damage and inflammation caused by high blood sugar levels in diabetes.


Diabetic neuropathy is a common complication of diabetes that affects the nerves throughout the body. It occurs when high blood sugar levels damage nerve fibers, leading to a range of symptoms such as numbness, tingling, pain, and weakness in the hands, feet, and other parts of the body. If left untreated, diabetic neuropathy can cause serious complications and significantly impact a person’s quality of life.

Key Takeaways

  • Diabetic neuropathy is caused by high blood sugar levels damaging nerve fibers – Common symptoms include numbness, tingling, pain, and weakness in the hands and feet – Early diagnosis and treatment are crucial for preventing complications and managing symptoms – Treatment options include blood sugar management, medications, lifestyle changes, and specialized therapies like those offered at Asuta Health’s neuropathy treatment centers

Understanding the Different Types of Diabetic Neuropathy

There are four main types of diabetic neuropathy:

  1. Peripheral neuropathy: This is the most common type, affecting the nerves in the hands, feet, legs, and arms. Symptoms may include numbness, tingling, burning sensations, and weakness.
  2. Autonomic neuropathy: This type affects the nerves that control involuntary functions such as digestion, bladder control, and heart rate. Symptoms may include digestive problems, dizziness, and sexual dysfunction.
  3. Proximal neuropathy: Also known as diabetic amyotrophy, this type affects the nerves in the hips, thighs, and buttocks. Symptoms may include severe pain, weakness, and muscle wasting.
  4. Focal neuropathy: This type affects specific nerves, often in the head, torso, or legs. Symptoms may include sudden pain, weakness, or muscle cramping.

Risk Factors for Developing Diabetic Neuropathy

Several factors can increase the risk of developing diabetic neuropathy:

  • Poor blood sugar control: Consistently high blood sugar levels are the primary cause of nerve damage in people with diabetes.
  • Duration of diabetes: The longer a person has diabetes, the higher their risk of developing neuropathy.
  • Age: Older adults with diabetes are more likely to develop neuropathy.
  • Smoking: Smoking narrows blood vessels, reducing blood flow to the nerves and increasing the risk of damage.
  • Obesity: Being overweight puts additional strain on the nerves and can contribute to nerve damage.

Symptoms of Diabetic Neuropathy

The symptoms of diabetic neuropathy can vary depending on the type and severity of nerve damage. Common symptoms include:

  • Numbness, tingling, or pain in the hands, feet, or legs
  • Weakness in the hands or feet
  • Loss of balance or coordination
  • Digestive problems such as nausea, vomiting, or diarrhea
  • Bladder problems such as frequent urination or incontinence
  • Sexual dysfunction
  • Dizziness or fainting due to changes in blood pressure

Diagnosing Diabetic Neuropathy

Diagnosing diabetic neuropathy typically involves a combination of physical exams, medical history, and specialized tests. Your doctor may:

  • Check your reflexes, muscle strength, and sensitivity to touch and temperature
  • Assess your blood pressure and heart rate
  • Test your ability to detect vibrations in your hands and feet
  • Perform nerve conduction studies or electromyography to measure nerve function
  • Order blood tests to check for vitamin deficiencies or other underlying conditions

Treatment Options for Diabetic Neuropathy

Treatment for diabetic neuropathy focuses on managing symptoms, preventing complications, and slowing the progression of nerve damage. Options may include:

Blood Sugar Management

Keeping blood sugar levels within a healthy range is crucial for preventing further nerve damage. This may involve:

  • Following a healthy diet low in sugar and refined carbs
  • Exercising regularly to improve insulin sensitivity
  • Taking diabetes medications as prescribed
  • Monitoring blood sugar levels closely

Pain Management

For people with painful diabetic neuropathy, medications may be prescribed to help manage symptoms:

  • Over-the-counter pain relievers like acetaminophen or ibuprofen
  • Topical creams or patches containing capsaicin or lidocaine
  • Prescription medications such as duloxetine, gabapentin, or pregabalin

Lifestyle Changes

Making healthy lifestyle changes can help manage symptoms and prevent complications:

  • Quitting smoking to improve circulation
  • Maintaining a healthy weight to reduce strain on the nerves
  • Practicing good foot care to prevent injuries and infections
  • Managing stress through relaxation techniques or therapy

Specialized Therapies

At Asuta Health’s neuropathy treatment centers, we offer cutting-edge therapies designed to reduce pain, improve function, and promote nerve healing. These may include:

  • Electrical nerve stimulation: Using low-frequency electrical currents to reduce pain and inflammation
  • Infrared therapy: Applying infrared light to improve circulation and promote tissue repair
  • Regenerative medicine: Using platelet-rich plasma or stem cell therapies to stimulate nerve regeneration
  • Physical therapy: Engaging in exercises and stretches to improve strength, flexibility, and balance

Preventing Diabetic Neuropathy

The best way to prevent diabetic neuropathy is to manage diabetes effectively:

  • Control blood sugar levels through diet, exercise, and medication
  • Maintain a healthy weight and blood pressure
  • Don’t smoke
  • Have regular check-ups with your doctor to monitor for signs of neuropathy
  • Take care of your feet by wearing comfortable shoes, checking for injuries, and keeping them clean and dry

When to Seek Medical Attention

If you experience any symptoms of diabetic neuropathy, it’s important to see your doctor right away. Early diagnosis and treatment can help prevent complications and improve outcomes.

Seek immediate medical attention if you have:

  • A cut or sore on your foot that isn’t healing
  • Burning, tingling, weakness or pain in your hands or feet that interferes with daily activities
  • Changes in digestion, urination, or sexual function
  • Dizziness or fainting

The Importance of Comprehensive Neuropathy Care

Living with diabetic neuropathy can be challenging, but with the right care and support, it’s possible to manage symptoms and maintain a good quality of life. At Asuta Health, we take a comprehensive approach to neuropathy treatment, combining advanced therapies with personalized care and support.

Our team of experienced providers works closely with each patient to develop an individualized treatment plan based on their unique needs and goals. We offer a range of cutting-edge therapies designed to reduce pain, improve function, and promote nerve healing, as well as education and support to help patients manage their condition long-term.

If you’re struggling with diabetic neuropathy, don’t wait to seek help. Contact Asuta Health today to schedule a consultation and learn more about our neuropathy treatment options. With the right care and support, it’s possible to take control of your health and live life to the fullest.


Diabetic neuropathy is a serious complication of diabetes that can cause significant pain, discomfort, and disability. However, with early diagnosis, proper treatment, and lifestyle changes, it’s possible to manage symptoms, prevent complications, and maintain a good quality of life.

If you’re experiencing symptoms of diabetic neuropathy, don’t hesitate to seek medical attention. At Asuta Health, we offer comprehensive neuropathy care using the latest therapies and techniques. Our team of experienced providers is dedicated to helping patients find relief from pain, improve function, and achieve their best possible health.

Remember, managing diabetes is key to preventing and treating diabetic neuropathy. By controlling blood sugar levels, maintaining a healthy lifestyle, and working closely with your healthcare team, you can reduce your risk of complications and live a full, active life.

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