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Not everyone with diabetic neuropathy experiences symptoms. Among those who do, signs and symptoms vary depending on the nerves affected and their connection in the body. Some neuropathies affect motor movements and sensation, and others cause problems with bodily functions.
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Type
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Initial
symptoms
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Symptom
progression
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Onset
|
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Peripheral (affects nerves in
the limbs)
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Tingling
Burning
Numbness
Loss of balance/
coordination
Impaired sleep and fatigue
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Sensitive to touch
Muscle weakness
Serious infection
Gangrene
Amputation
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Gradual
Worse
at night
|
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Autonomic
(affects organ systems)
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Dizziness
Low blood pressure
Excess sweating
Poor bladder control
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Fainting
Heart rate irregularities
Bladder/bowel problems
Sexual dysfunction
Stomach problems (nausea, poor digestion)
Hypoglycemia unawareness
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Gradual
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Focal
(affects one nerve or group of nerves)
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Blurred vision
Mild facial weakness
Ankle or foot weakness
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Double vision
Facial paralysis
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Sudden, but can resolve
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There are considerable differences between the types of diabetic neuropathy. The initial signs vary in the way they first appear and how they progress in severity. However, once the symptoms become evident, the patient should seek medical attention. Physicians will be able to recommend the appropriate treatment and monitor the neuropathy to avoid further complications.
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