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suffering from diabetes seems to have nerve problem

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Sir, My mommy is suffering from diabetes from last 12 year,her age is 39. she take both time Human mixtard insuline.She oftenly get severly nerve pain in lower side of leg(pain in vein like current) it seems to have nerve problem.During summer it happens almost every day.she also suffers from bad digestive condition.I have heard aboy MULTI BETIC DIABETES capsule, but have no idea. Sir,There are no such a good doctor of diabetes here.I will grateful for your valuable suggestion.please reply


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replied January 30th, 2012
Diabetes Answer A30920
Hello and welcome to e health forum.

The description of your mother's symptoms appear to be due to Diabetic Neuropathy.

Diabetic neuropathy is a common complication of diabetes, in which nerves are damaged as a result of ‎high blood sugar levels (hyperglycemia).‎

People with diabetes commonly develop temporary or permanent damage to nerve tissue. Nerve injuries ‎are caused by decreased blood flow and high blood sugar levels, and are more likely to develop if ‎blood sugar levels are not well controlled.‎

Some people with diabetes will not develop nerve damage, while others may develop this condition ‎early. On average, symptoms begin 10 to 20 years after the diabetes diagnosis. Approximately 50% of ‎people with diabetes will eventually develop nerve damage. ‎

Peripheral nerve injuries may affect nerves in the skull (cranial nerves) or nerves from the spinal column ‎and their branches. This type of nerve injury (neuropathy) tends to develop in stages.‎

Autonomic neuropathies affect the nerves that regulate vital functions, including the heart muscle and ‎smooth muscles (Intestines).‎

Symptoms vary depending on the nerves affected, and usually develop gradually over years and may ‎include : -‎

Symptoms related to the Digestive tract include - constipation, Diarrhea, Nausea, vomiting, Dysphagia. ‎

Legs and arms: ‎
‎ Deep pain (feet and legs) ; Loss of the sense of warm or cold
‎ Muscle cramps
‎ Numbness (if the nerves are severely damaged, you may be unaware that a blister or minor ‎wound has become infected)‎
‎ Tingling or burning sensation in the extremities, particularly the feet
‎ Weakness

Other symptoms include: ‎
‎ Dizziness
‎ Drooping eyelid, Drooping face, Drooping mouth
‎ Impotence
‎ Light-headedness when standing up (orthostatic hypotension)‎
‎ Loss of bladder control
‎ Rapid heart rate ; ‎
‎ Speech impairment ; Vision changes

The goals of treating diabetic neuropathy are to prevent the disease from getting worse and to reduce ‎the symptoms of the disease.‎

Tight control of blood sugar (glucose) is important to prevent symptoms and problems from getting ‎worse.‎

Medications may be used to reduce the symptoms in the feet, legs, and arms. These medications ‎include: Antidepressant drugs, Antiseizure medications, ‎

Drugs that block bladder contractions may be used to help with urinary control problems.‎

Erythromycin, domperidone (Motilium), or metoclopramide (Reglan) may help with nausea and vomiting.‎

Pain medications (analgesics) may work for some patients on a short-term basis, but in most cases they ‎do not provide much benefit.‎

Phosphodiesterase type 5 (PDE-5) drugs, such as sildenafil (Viagra), vardenafil (Levitra), and tadalafil ‎‎(Cialis) are safe and effective for treating impotence.‎

Capsaicin can be used topically to reduce pain.‎

Regular foot exams are important to identify small infections and prevent foot injuries from getting ‎worse. If foot injuries go unnoticed for too long, amputation may be required.‎

You might consult a diabetologist for proper evaluation and proper treatment of your condition ‎

I hope this helps.‎



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