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Diabetic Neuropathy

Also called: Diabetic Nerve Disease, Diabetic Nerve Damage

- Summary
- About diabetic neuropathy
- Types and differences
- Risk factors and causes
- Signs and symptoms
- Diagnosis methods
- Treatment and prevention
- Questions for your doctor

Reviewed By:
Gary Pepper, M.D., FACP

Signs and symptoms

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.

Type

Initial
symptoms

Symptom
progression

Onset

Peripheral (affects  nerves in
the limbs)

Tingling

Burning

Numbness

Loss of balance/
coordination

Impaired sleep and fatigue

Sensitive to touch

Muscle weakness

Serious infection

Gangrene

Amputation

Gradual

Worse
at night

Autonomic
(affects organ systems)

Dizziness

Low blood pressure

Excess sweating

Poor bladder control

Fainting

Heart rate irregularities

Bladder/bowel problems

Sexual dysfunction

Stomach problems (nausea, poor digestion)

Hypoglycemia unawareness

Gradual

Focal
(affects one nerve or group of nerves)

Blurred vision

Mild facial weakness

Ankle or foot weakness

Double vision

Facial paralysis

Sudden, but can resolve

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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Review Date: 05-19-2008
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