When you have diabetes, nerve damage called diabetic neuropathy can take place due to high blood sugar level. There are 4 primary kinds of diabetic neuropathy. You might have simply one type. Or you might have signs of more than one type. Many kinds of diabetic neuropathy establish with time. You may not discover signs up until lots of nerve damage has actually occurred.
Talk with your health care expert if you have any of the signs kept in mind listed below. If diabetic neuropathy is the cause, early treatment can assist avoid more health problems.
Peripheral neuropathy
Peripheral neuropathy is the most typical kind of diabetic neuropathy. It can impact nerves in the feet, legs, hands and arms. It frequently begins in the feet, typically impacting both feet at the exact same time. Usually, peripheral neuropathy signs impact both sides of the body.
The signs can consist of:
- Feeling numb or less capability to feel discomfort or temperature level modifications, specifically in the feet and toes.
- A tingling or burning sensation.
- Sharp, jabbing discomfort that might be even worse in the evening.
- Severe pain from touch. For some individuals, even the weight of a bedsheet can be uncomfortable.
- Muscle weak point.
- Loss of reflex reaction.
- Major foot problems such as ulcers, infections, modifications in foot shape, and bone and joint damage.
Free neuropathy
Free neuropathy triggers damage within a network of nerves that manage the internal organs. This network is called the free nerve system. It manages high blood pressure, heart rate, and the gland, eyes, bladder, digestion system and sex organs. Diabetes can impact the nerves in any of these locations. It can induce signs consisting of:
- An absence of awareness that blood glucose levels are low. This is called hypoglycemia unawareness.
- Bladder conditions. These can consist of regular urinary system infections. Some individuals lose bladder control, called urinary incontinence, or have problem clearing the bladder, called urinary retention.
- Irregularity, severe diarrhea or both.
- Sluggish emptying of the stomach, called gastroparesis. This can cause indigestion, throwing up, a sensation of fullness and anorexia nervosa.
- Problem swallowing.
- Issues getting an erection or problem climaxing.
- Vaginal dryness, less sensation around the vaginal area, and problem with libido or orgasm.
- Sweating a lot, particularly in the evening or throughout meals. Or less capability to sweat, even when hot.
- Drops in high blood pressure when increasing from sitting or resting, called orthostatic hypotension. This might trigger sensations of lightheadedness or fainting.
- Difficulty managing body temperature level.
- Modifications in the method the eyes change from light to dark or range to proximity.
- Faster heart beat even while at rest.
Proximal neuropathy
Proximal neuropathy impacts nerves in the thighs, hips, butts or legs. This condition is more typical in individuals who have type 2 diabetes and in those older than 50.