Patients with diabetes have more complications from nerve impending danger, called neuropathy due the fact that they diabetes. High blood sugar can harm the nerve fibers of one's body, but the lower limbs and feet are classified as the most vulnerable.
Depending en route the nerve injury, but symptoms contrast from pain, loss of sensation in this lower to the symptoms of digestive system, urinary tract, blood vessels and heart. Some patients have mild symptoms most patients also have cheesy pain, incapacity and even death
Neurological skin complaint due to diabetes is considered the most serious complications of diabetes. You can prevent or slow the growth and development of neurological disease due recognize diabetes by controlling bloodstream sugar levels closely and have the kitchen connoisseur.
Symptoms
Neurological disease due the fact that they diabetes has four leader types. Patients may look for a form or a connected with many types at and then also. Most of the symptoms manifest slowly as the patient did not notice until a life threatening injury. Some patients have symptoms before diabetes is diagnosed.
Symptoms of neurological disease when diabetes varies dependent on what type and how neural injury:
Peripheral neuropathy
Peripheral neuropathy is considered the most common neurological disease when diabetes. It hurt the nerves you have feet, lower limbs, hands and wrists and hands, but the lower limbs and feet are definitely affected most. These symptoms include:
* Numbness or lesser sensation of pain, cold and hot temperatures, especially in the feet.
* Stinging sensation, such as tingling, burning starts that you are toes and gradually spread with the feet.
Pain like going on a knife stabbing, such and even electric shocks or cutlery, often up at night.
* Increased sensitivity to touch, feel - a defined patients, even up blanket is painful.
* Loss of monetary and coordination
* Muscle low energy and difficulty walking
* Many leg problems are severe, such as stomach problems, infection, deformity and painful joints.
Autonomic neuropathy
Autonomic nervous system controls the the agency: heart, vesica, lung, stomach, digestive, genital area and eye. Diabetes can harm the nerve fibers in that organ, causing:
* Vesica problems: recurrent urinary tract infection doesn't really control or primary (elementary patients not resist)
* Digestive problems: as the first respir, heartburn and abdominal pain
* Constipation, diarrhea, uncontrollable or a number of constipation and diarrhea
* Absorb slowly emptied indigestion connected to gastric (stomach paralysis), initiating nausea, vomiting or to forfeit appetite.
* Erectile dysfunction affects over 50% of men with diabetes> 60 years of age.
* Vaginal dryness and difficulty in sex in women.
* Increased or decreased sweating
* Not being able to regulate blood pressure and heart rate, leading to postural hypotension as soon as the patient changes posture to sit or sugar.
* Issues related to regulating body temperature.
* Change that the eyes adjust from soft to dark.
Neurological disease usually occurs automatically on diabetics control blood sugar in their eyes is not good.
Sometimes referred to as femoral neuropathy or muscle atrophy connected to diabetes. Neurological origin often painful you have hip, thigh, buttocks, usually starting on one side, eventually leading to cancer cells weakness and muscle atrophy patients challenging to change positions from class to standing. Many patients with severe dieting and exercise. Some patients with pain in their back. Nerve root disease usually occur in elderly patients or followers with type 2 diabetes mellitus.
Focal neuropathy
Focal neuropathy usually appear suddenly frequently related to a nerve independent. Rice in elderly patients. Neurological disease that causes localized pain and may disappear after a few weeks or few thang. Nhung symptoms include:
* Difficulty focusing eye, double vision or pain behind up your eyes.
*paralyze the side face
* Pain as a minimum lower leg or bottom.
Sometimes neurological disease a result of localized pinched nerve products. Carpal tunnel syndrome is easily the most common form of center neuropathy in patients with no trouble diabetes.
Symptoms of carpal tunnel:
* Numbness, swelling, or stinging you have fingers while driving or perhaps while holding the newspapers.
* Pain spreading with wrist up the arm, shoulder or spread with palms, fingers.
* Feeling of a weakness in the hand and tend to drop objects.
Cause
A complex technique for nerves running throughout the human body, connecting the brain with the muscles, skin and get you marked down organs. Through the the particular body, the brain will find themselves pain and temperature, control and technique of automated tasks such as digestion.
High blood sugar can harm the nerve fibers, but the same reason is not to this point how clearly rang. Co be from being a combination of many aspects, including nerve and problematic veins. High blood sugar increases the ability of neural signals pure topple. High blood sugar change the capillaries that supply blood and nutrients but the truth is nerve fibers.
Other factors
Other factors may spark neurological disease caused via diabetes, including:
* Glycate pure whey protein. Glycate process of protein comes about when glucose interacts with health proteins, modifying proteins. This process is more than likely related to complications about diabetes, including neuropathy there is a constant diabetes.
* Autoimmune inflammatory response to nerve fibers. When protected mistakenly attacks the body's organs in the body.
* Factor gene: make patients vulnerable nerve components.
* Alcohol and cigarette smoking, both nerve damage and problematic veins, increasing the risk of infection.
Risk Factors
Any person suffering from diabetes patient can no thoughts complications, but the following factors enhance the likelihood that injured sensors fibers.
* Poor blood sugar control. This is greatest risk factors for simultaneously diabetes complications, including neurological complications. Keeping blood sugar stable is techniques to protect the nerves and blood stream.
* Time has diabetes mellitus. The risk of neuropathy to its diabetes increased over the opportunity with diabetes, especially if blood sugar levels is not well regulated. Neuropathy can automatically affect digestive system, bladder and sexual aims, which occurs mainly to store patients with diabetes will not good blood sugar beat or diabetes over 20 years. The rate of peripheral nerve disease occurs in most patients with diabetes> twenty five years.
* Age. Older patients more liable to diabetes nerve.
* Having sex. Men prone to neurological disease when diabetes than women.
* Widened cholesterol. Increased bad cholesterol damage the small blood vessels feeding the nerves.
* Cigarette smoke cigarettes. Smoking is the ringing in the ears harden and narrow and reduces blood vessels to the legs. You will be making slow healing wounds don't forget that hurting peripheral neuropathy.
Diagnostic tests
Neurological disease there is a constant diabetes is usually diagnosed derived from symptoms, medical history don't forget that physical examination. The doctor will examine your muscle tone, bone tendon reflexes, feeling sensation, thermal sensation and therefore vibration sense.
Usea soft nylon brush lightly with foot. If the patient has no feel the nylon into feet, which is a sign of loss of sensation.
Other tests
In some cases, the following tests is often screaming:
*Assessment of neurotransmitters. This test is supposed to evaluate the conductive total of nerve fibers in the limbs, usually used to diagnose carpal tunnel.
American Diabetes Association recommends that public patients with diabetes mellitus foot should be examined at least one time each year. In implementation, foot inspection to detect signs of inflammation, cracked skin, ingrown toenails, deformed joints each doctor visit
Complications
Neurological disease there is a constant diabetes can cause many serious complications
* Loss of sense of truth. That have nerve damage causing loss of life sensation in the hind legs, so the patient has no detect the injury, swelling and pain you have leg wound infection are sometimes severe. Very high potential for infection due to decreased circulation to the legs. Infection can spread with bone and tissue necrosis. It's difficult to treat, need to get it amputated legs or palms.
* Charcot Joints. This takes place when the joints in the feet disfigured by nerve damage
* Interesting and primary infection never ever control. Neurological damage urinary control patients could not state the final, still urine in a lot off the bladder after urinating, whether it is so easy to construct conditions for germs to produce in the bladder and kidneys, leading to circumstances urinary tract. Nerve damage also affect allow you to sense when you urinate and control of urination.
* Hypoglycaemia suddenly. Normally, when blood sugar dropped too low, below 70 mg or dL, or below 3. 0 mmol / L patients can have symptoms such as tremulous hands, sweating, heart palpitations... Here are the warning associated with patients. Neuropathy can automatically cause the patient may not obvious symptoms of hypoglycemia and is not treated promptly, very are easy coma and even fatality rate.
* Low blood get.. Neurological damage control bloodstream will impact allow you to adjust the body's demand. When that cause blood pressure levels when changing positions regarding sitting to standing, causing signs of dizziness or shock. Which is called postural hypotension.
* Intestinal disorders. Automatic nerve damage control digestive tract will cause many digestive problems, including constipation, diarrhea and / or constipation interspersed diarrhea, nausea, vomiting, bloating or to forfeit feeling good mouth. An amazing complication that is paralyzed midsection, as food from the tummy slowly cause nausea therefore i vomiting.
* Sexual condition. Neuropathy usually automated nerve damage affecting the vaginal canal, causing erectile dysfunction in men and vaginal dryness in women.
* Increased or lesser sweating. When the sweat glands did not function normally, the body lose the ability to regulate body high temperature. Typically, neurological diseases inducing automatic sweat more, especially at night
Drugs don't forget that treatment
Treatment of neurological infections caused by diabetes to focus on:
* Slow progression due to disease
* Reduce pain
* Look after complications
* Rehabilitation
Slow progression throughout the disease.
Keep blood sugar constant as a minimum normal limits will lessen the progression of peripheral neuropathy but will reduce symptoms. Target glucose levels:
* Blood sugar before meals: 90 to 130 milligrams / dL (5 to a target 7 mmol / L)
* 2 hour postprandial blood glucose <180 mg / dL (10 mmol sixth is v L)
* Hemoglobin A1c <7%
Sugar HbA1c is assigned to hemoglobin - substance in a very red blood cells rising oxygen. It reflects the conventional blood glucose of followers in 2-3 months
To inhibit the nerve damage:
* As recommended by doctor about foot care
* Keep blood pressure level within limits
* The good diet and reasonable
* Regular work outs that
* Maintain ideal body weight
* Stop smoking
* Significant alcohol or stop alcohol consumption, if permitted, shall not exceed one evening for women beer or more cans, for men.
Analgesic
Treatment of pain in neurological disease a result of diabetes is very difficult. Many drugs have been used to relieve pain but not efficient in all patients and all of the side effects.
These skin treatments include:
* Anti-epileptic Supplements: Drugs such as gabapentin (Neurontin), pregabalin (Lyrica) in spite of that carbamazepine (Tegretol), used to address epilepsy, but it is likewise used to treat neuropathic indicators and symptoms. Side effects include sleepiness and dizziness.
* Antidepressants, including amitriptyline, nortriptyline (Pamelor), desipramine (Norpramin) in spite of that imipramine (Tofranil), may suppress pain mild to caring, but also has many reasons against. The new antidepressants better pain relief and fewer side outcomes.
* Lidocaine patch. Patch containing lidocaine local anesthetic so it helps relieve pain. Usually no more side effects, sometimes associated with redness.
*Capsaicin is a compound extracted from chillies, when applied onto the skin, capsaicin cream (ArthriCare,... Zostrix) is effective in reducing pain..
* Other medications. Painkillers such as codeine and even central oxycodone (OxyContin) is known to relieve pain. But the drugs can cause many uncomfortable side effects of long-term treatment.
Other the type of treatment
Many non-drug treatments guide relieve pain. Can be combined with drugs to treat:
* Alpha-lipoic level of acidity (ALA). Alpha-lipoic acid may possibly be the antioxidant found in food, can help reduce symptoms of peripheral neuropathy.
* Electrical stimulation with skin: This method runs on the small electric current stimulation to lower pain, but this method hasn't been effective in all patients and distinctive pain.
* Acupuncture. National Institutes of Health of the united states have applied acupuncture in treating chronic pain including neuropathic pain.
* Relaxation techniques. Reduce the pressure and pain. Meditations include deep breathing exercises or referring to pictures, yoga...
Treatment complications
Urinary system complications. Anti-spasm medication (anticholinergics), diverse county... to reduce urinating urinary tract symptoms.
Gastrointestinal disorders. When the stomach is considered paralyzed, the patient should eat several meals a surroundings, each meal should eat less, down fiber and fats you have diet.
* Postural blood pressure levels. Patients with postural blood pressure should avoid alcohol, moisten and stood up bye bye tu. Co many drugs to relieve postural hypotension, such as fludrocortisone to include blood pressure.
* Erectile dysfunction. Sildenafil (Viagra), tadalafil (Cialis) and vardenafil (Levitra) may improve sexual act men, but these drugs is not effective and safe for a lot of. Women may need compound through vaginal estrogen cream for the prevention of vaginal dryness.
Prevention
Patients can prevent and delay pills work complications of neurological disease from the diabetes by keeping bloodstream sugar levels within permissible limits, foot care and change in lifestyle.
Blood sugar control:
Target blood sugar
* Blood sugar before meals: 90 to 130 mg / dL (5 to qualify for the 7 mmol / L)
* 2 hour postprandial glucose levels <180 mg / dL (10 mmol / L)
* Hemoglobin A1c <7%
Foot care
To help you save feet to avoid afflictions:
* Check feet everything. If patients do not see the soles of your toes, to use mirrors or inspection at the relative vacuum. Find one of the many swelling, boils, wounds, green...
* Retain a clean and dry. Wash your feet daily with warm water. If your feet must not feel temperature, test temperature of water by absorbent towel to touch other body areas, such as wrist, elbow or made use of in testing. Dry your feet gently Rub dermis can cause scratches. Dry feet of the interstitial fluid and be relevant to damp skin if dryness.
Cut nails carefully. Cut nails straight lines don't forget that careful sanding edges. You do not cut corners feet much lower.
* Based calluses. You can use a pumice or nail materials for filing calluses and surgery to remove, but patients you do not voluntarily cut calluses.
* Has on clean socks and dry. Cotton socks should even go from home.
* Wear shoes possibly legs. Always wear shoes security for feet just to keep from foot injuries. Should buy shoes as a minimum afternoon because then toes and fingers will be larger than the morning
Lifestyle changes
* Control stress. Diabetic patients are at risk of hypertension than 2 times in excess of people without diabetes. As you are both hypertension and diabetes, patients with increased potential for complications in blood vessels and reduced circulation information. Control blood pressure <130/85 mmHg
* Choose foods that come with health benefits. Select balanced diet, especially greens, fruits, whole wheat grains wheat. Keeping an ideal extra fat.
* Physical activity obtained in this. Daily activities need to protect the heart and improves circulation, and which help stabilize blood sugar levels and blood pressure.
* Tobacco. Diabetic patients smoking increases the potential risk of stroke and myocardial infarction than 2 times compared with diabetic customers not smoking. Periodic leg at the same time is also affected.
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