What is Diabetic Neuropathy?
Diabetic neuropathy is a peripheral nerve disorder caused by diabetes. The symptoms of diabetic neuropathy are often slight at first. In fact, some mild cases may go unnoticed for a long time. Numbness, pain, or tingling in the feet, or legs may, after several years, lead to weakness in the muscles of the feet. Occasionally, diabetic neuropathy can flare up suddenly and affect specific nerves so that an affected individual will develop double vision or drooping eyelids, or weakness and atrophy of the thigh muscles. Nerve damage caused by diabetes generally occurs over a period of years and may lead to problems with the digestive tract and sexual organs, which can cause indigestion, diarrhea or constipation, dizziness, bladder infections, and impotence. The loss of sensation in the feet may increase the possibility for foot injuries to go unnoticed and develop into ulcers or lesions that become infected.
Is There Any Treatment?
The goal of treating diabetic neuropathy is to relieve discomfort and prevent further tissue damage. The first step is to bring blood sugar levels under control by diet and medication. Another important part of treatment involves taking special care of the feet. Analgesics, low doses of antidepressants, and some anticonvulsant medications may be prescribed for relief of pain, burning, or tingling. Some patients may find that walking regularly, taking warm baths, or using elastic stockings may help relieve leg pain.
What is The Prognosis?
The prognosis for diabetic neuropathy depends largely on how well the underlying condition of diabetes is handled. Treating diabetes may halt progression and improve symptoms of the neuropathy, but recovery is slow. The painful sensations of diabetic neuropathy may become severe enough to cause depression in some patients.
What Research is Being Done?
The NINDS conducts and supports research on diabetic neuropathy to increase understanding of the disorder and find ways to prevent and cure it. New medications are currently being examined to assess improvement or stabilization of neuropathic symptoms.
| American Chronic Pain Association (ACPA) P.O. Box 850 Rocklin, CA 95677-0850 [email protected] http://www.theacpa.org Tel: 916-632-0922 800-533-3231 Fax: 916-632-3208 |
American Diabetes Association 1701 North Beauregard Street Alexandria, VA 22311 [email protected] ttp://www.diabetes.org Tel: 800-DIABETES (342-2383) 703-549-1500 |
| Juvenile Diabetes Research Foundation, International 120 Wall Street New York, NY 10005-4001 [email protected] http://www.jdrf.org Tel: 800-533-CURE (-2873) 212-785-9500 Fax: 212-795-9595 |
National Institute of Dental and Craniofacial Research (NIDCR) National Institutes of Health, DHHS 31 Center Drive, Room 5B-55 Bethesda, MD 20892 [email protected]< http://www.nidcr.nih.gov Tel: 301-496-4261 |
| National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) National Institutes of Health, DHHS 31 Center Drive, Rm. 9A06 MSC 2560 Bethesda, MD 20892-2560 http://www.niddk.nih.gov Tel: 301-496-3583 |
Prepared by:
Office of Communications and Public Liaison
National Institute of Neurological Disorders and Stroke
National Institutes of Health
Bethesda, MD 20892
NINDS health-related material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the National Institute of Neurological Disorders and Stroke or any other Federal agency. Advice on the treatment or care of an individual patient should be obtained through consultation with a physician who has examined that patient or is familiar with that patient’s medical history.
All NINDS-prepared information is in the public domain and may be freely copied. Credit to the NINDS or the NIH is appreciated.
Last updated January 24, 2006
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