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(Nerve Damage of Diabetes)
|Nerves of the Foot|
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- Metabolic problems such as high blood glucose
- 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 Diabetes Information Clearinghouse http://diabetes.niddk.nih.gov
Canadian Diabetes Association http://www.diabetes.ca
Health Canada http://www.hc-sc.gc.ca
American Academy of Neurology practice parameters for diagnostic testing for distal symmetric polyneuropathy. Neurology. December 3, 2008.
Diabetic neuropathies: the nerve damage of diabetes. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://diabetes.niddk.nih.gov/dm/pubs/neuropathies. Updated November 26, 2013. Accessed September 19, 2014.
Diabetic peripheral neuropathy. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated August 12, 2014. Accessed September 19, 2014.
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;16:313-321.
Types of peripheral neuropathy: pre-diabetic/diabetic University of Chicago, Center for Peripheral Neuropathy website. http://millercenter.uchicago.edu/learnaboutpn/typesofpn/diabetes/index.shtml. Accessed September 19, 2014.
Vinik AI. Diabetic neuropathies. Med Clin North Am. 2004;88:947-999.
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.
- Reviewer: Kim Carmichael, MD
- Review Date: 08/2014
- Update Date: 09/23/2014