Diabetic neuropathy is a chronic, progressive condition.
Fortunately, this condition can be managed with medication and lifestyle changes.
Some people may experience just one jot down, while others may develop multiple types.
Illustration by Theresa Chiechi for Verywell Health
Autonomic Neuropathy
Autonomic neuropathy refers to damage to the nerves that serve your internal organs.
These organs help carry out daily functions like digestion, sweating, and urination.
Proximal Neuropathy
Proximal neuropathy involves nerve damage to the hip, buttock, or thigh.
It can cause severe pain and muscle shrinkage to the affected area.
It is less common than peripheral and autonomic neuropathy.Carpal tunnel syndromeandBell’s palsyare examples of focal neuropathy.
Symptoms can range from mild to disabling.
Symptoms of peripheral neuropathy include:
Symptoms of autonomic neuropathy depend on the organ that is affected.
Your assessment will start with a healthcare provider taking a thorough history and checking your vitals.
Next, they will perform a physical exam.
What Is a Microfilament Exam?
Amicrofilamentexam is often used in the diagnosis of diabetic neuropathy.
This exam uses nylon filaments (thin thread-like fibers) to help determine your ability to feel pressure.
You will be asked to close your eyes while a healthcare provider presses a filament onto your skin.
If you cannot feel the pressure because of the filament, it may indicate diabetic neuropathy.
A healthcare provider may also order some blood tests to rule out other causes of nerve damage.
These tests are performed by aphysiatrist(a doctor trained in physical medicine and rehabilitation).
Therefore, these figures are likely huge underestimations.
Diabetic neuropathy poses a great threat to the quality of life experienced by those with diabetes.
Even more, some medicines have shown that they can worsen peripheral neuropathy.
Your general outlook ultimately depends on how well you control your diabetes.
Summary
Diabetic neuropathy is a late manifestation of uncontrolled or long-standing diabetes.
Its main symptom is nerve pain.
There is no consensus on the singular best medication for severe neuropathy.
American Diabetes Association.Understanding neuropathy and your diabetes.
NIH.Peripheral neuropathy fact sheet.
American Diabetes Association.Autonomic neuropathy.
Azpiroz F, Malagelada C.Diabetic neuropathy in the gut: pathogenesis and diagnosis.Diabetologia.
2021;9(2):e002480.
doi:10.1136/bmjdrc-2021-002480
Wooton AK, Melchior LM.Diabetic autonomic neuropathy resulting in sexual dysfunction.Nurse Pract.
2016;94(3):227-234.
2017;12(12):CD007963.
2017;6(6):CD003726.
2017;6(6):CD007938.
2019;10:954. doi:10.3389/fneur.2019.00954
NYU Langone Health.Lifestyle changes for peripheral neuropathy.
American Diabetes Association.Neuropathy: Steps to Prevent or Delay Nerve Damage.
