What is Diabetic Neuropathy ? (part two)

Diagnosis Of Diabetic Neuropathy

Early diagnosis of diabetic neuropathy is made based on the symptoms, medical history, and physical examination. To enforce the diagnosis, done some examination of other support, including:

-Examination of the speed of nerve Conductivity (KHS), to assess the speed of nerve impulse by the groom on the hands and feet.

Examination of the neural response to changes in temperature and vibration.

-Examination of the autonomic nervous system, to detect the occurrence of autonomic neuropathy in patients who exhibit symptoms. In this examination, the patient's blood pressure measurements are performed in a variety of positions, as well as the ability of the patient's body is also assessed for diaphoretic.

-Filament Test to check for sensitivity to touch.

Electromyography (EMG) tests, to measure the magnitude of the electrical impulses in the muscles. This inspection was performed in conjunction with an examination of KHS.

Treatment Of Diabetic Neuropathy

Diabetic neuropathy treatment is done with the goal of slowing the progression of the disease, relieve pain and cope with the complications, as well as restoring the functions of the body. Disease progression can be slowed by way of keeping sugar levels in accordance with age, a period affected by diabetes, the emergence of other health issues if there are health conditions sufferers, and thoroughly.

Safe sugar levels for diabetics under the age 59 years is between 80 to 120 mg/dL, while the safe sugar levels in diabetics over the age of 60 years or have other medical conditions is 100 to 140 mg/dL

Another way to slow down the progression of diabetic neuropathy is to maintain blood pressure, do a lot of physical activity, smoking cessation, avoidance of alcohol, maintaining a balanced weight, as well as implementing the healthy eating pattern.

Drugs are commonly given to overcome pain, muscle cramps, and other symptoms that may arise, including:

-Antidepressants, such as duloxetine, desipramine, or-or nortriptyline.

-Anti-seizure, such as gabapentin, carbamazepine, or pregabalin.

-In the form of a Lidocaine patch.

-Capsaicin Creams.

-The giving of drugs is often combined with physical therapy or acupuncture, which can also relieve the pain.

To restore bodily functions as well as cope with the complications that come up, here are some kinds of responses:

-To overcome the low blood pressure (hypotension), sufferers are encouraged to implement the healthy living patterns, drinking, and doing a lot of sitting position or stand up slowly. In addition, the wearing of a corset to stomach or compression socks are also recommended by doctors. Hypotension in orthostatic can be used a number of drugs to cope with their symptoms.

-For digestive problems, other than with drugs for indigestion, doctors would advise sufferers to change eating patterns, such as reduced fiber and fat, consuming foods that are soft and easy to digest, and eating more often with a portion a little bit.

– For issues related to the urinary tract (especially the loss of control over the bladder), can be addressed with medication therapeutic techniques antispasmodic, urinating in futures, as well as the fitting pessaries or rings that are inserted into the vagina in order to prevent the leakage of urine/bedwetting.

- To the problem of sexual dysfunction in men, could be overcome with the drug sildenafil, vardenafil, or tadalafil. However, these medications are not necessarily safe for everyone. Another way to do it by the use of vacuum tools to enhance blood flow to the penis. For the problem of vaginal dryness in women, can be addressed with special lubrication of the vagina.

Complications Of Diabetic Neuropathy

Serious complications that can arise from diabetic neuropathy disease are:

-Decreased sensitivity to the symptoms of hypoglycemia (low sugar levels) that appear.

-Digestive problems, such as constipation, diarrhea, and gastroparesis.

-Excess Sweat or otherwise reduced due to sweat glands are not functioning normally.

-Urinary tract infections and incontinence of urine.

-Charcot joint Disease, namely the condition characterized by swelling of the joints, decreased sensation, until the defects or changes the form of the joint.

-Death of the tissues of the foot. The infection spreads due to diabetes may cause tissue death that did not experience a leg can be treated so that it had to be amputated.

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