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Diabetic Neuropathy

One of the most common complications of diabetes, caused by damage to peripheral nerves from long-term high blood sugar.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is Diabetic Neuropathy?

Diabetic neuropathy is one of the most common and earliest long-term complications of diabetes. Chronic hyperglycemia impairs nerve conduction by damaging the microcirculation of peripheral nerves.

The most common form is distal symmetric polyneuropathy; numbness, burning, and loss of sensation starting from the soles of the feet and toes are typical. Autonomic neuropathy, on the other hand, can affect involuntary processes such as heart rate, digestion, and sexual function.

Loss of sensation predisposes to unnoticed small injuries on the foot and diabetic foot ulcers. Regular foot examination and strict blood sugar control are the main steps in preventing diabetic neuropathy.

Symptoms

Burning, tingling, and numbness on the soles of the feet
Pain that worsens at night
Hypersensitivity to touch
Loss of sensation and inability to notice injuries
Balance disorder
Digestive difficulties, sweating disorder (autonomic involvement)

Risk Factors

Long-term high blood sugar
High blood pressure and high triglycerides
Smoking
Concurrent kidney disease
Long duration of diabetes

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • New-onset loss of sensation or burning sensation in the feet
  • Unnoticed wounds or color changes on the foot
  • Balance disorder or falls
  • Autonomic symptoms together with difficulty emptying the stomach, dizziness

Treatment Methods

01
Strict blood sugar and blood pressure control
02
Pregabalin, gabapentin, or duloxetine for neuropathic pain
03
Topical capsaicin or lidocaine cream
04
Regular foot examination and appropriate footwear selection
05
Physiotherapy and balance exercises

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.