Diabetic Neuropathy: Diabetic

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2012年9月19日星期三

Diabetic Neuropathy of Your Feet Affects Balance - What You Can Do to Prevent Falls!

As many as one in two people with type 2 diabetes eventually develops a condition of chronic nerve damage in their feet known as diabetic peripheral neuropathy. Glucose, the type of sugar in your bloodstream, pours into your nerve tissues that at first can covert it into fructose and sorbitol for storage. Over a period of years the fructose and sorbitol slows down the transmission of electrical impulses across the nerve and even causes destruction of the nerve itself. As more and more nerve fibers are destroyed in your feet, there is first:

a loss of feeling, and then
a high risk of falls

Diabetics are at greater risk for falls when they have fewer sensory inputs to compensate for the loss of feeling in their feet. Closing your eyes, or walking across a dark room for example, will result in more falls. Even standing on one foot is harder for a diabetic to do with their eyes closed, but easier if eyes are open so the diabetic can judge whether he or she is standing up straight.

The most important nerves in your feet for maintaining balance are at the sides of your feet. Anything that keeps your foot flat on the floor increases the information flowing to your brain so that it can prevent falls. Vibrating shoe soles can also help prevent falls by constantly redirecting attention to your feet... but they are not very helpful in the dark. The brain still needs information from your eyes to compensate for lack of information from your feet.

What can be done to improve diabetic peripheral neuropathy?

Here are some treatments that work:

alpha-lipoic acid can reverse many of the symptoms of nerve damage. Always take 1 mg of biotin with every 100 mg of alpha-lipoic acid to prevent biotin deficiency
gel insoles may send pressure sensation to the sides of your feet where diabetic nerve damage is usually least
in diabetic men, any drug for treating erectile dysfunction will also improve diabetic peripheral neuropathy
tricyclic antidepressants such as amitryptyline (Elavil) relieve foot pain and peripheral neuropathy, but they are usually not enough to guarantee balance
capsaicin (hot pepper) creams usually reduce foot pain... but they do not restore balance. Be sure to use capsaicin creams as directed on the label and be careful to avoid getting any of the cream in your eyes.

Approximately 15% of people with diabetes will develop a serious foot problem of some kind during their lifetime and about 1 in 10 type 2 diabetics develop neuropathy of their feet even before being diagnosed with type 2 diabetes.

Every person with diabetes, type 1 or type 2, should get regular foot exams to make sure the first time they learn they have diabetic peripheral neuropathy is not when they have had a nasty fall. Don't hesitate to remind your health care provider to check for sensation in your feet at least once a year as part of a comprehensive foot check!

Would you like more information about alternative ways to handle your type 2 diabetes?

To download your free copy of my E-Book, click here now: Answers to Your Questions ... its based on questions many diabetics have asked me over recent months.

Beverleigh Piepers is a registered nurse who would like to help you understand how to live easily and happily with your type 2 diabetes. http://drugfreetype2diabetes.com/blog

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Diabetes and Foot Care, Diabetic Neuropathy and More

Studies concerning diabetes and foot care indicate that neuropathy and peripheral vascular disease are more prevalent in people that do not adhere to recommended preventative measures. You can learn about the recommended preventative measures in this article. Hopefully, that will help reduce your risk of complications.

Some patients do not understand the importance of regular check-ups and daily feet inspections. Those are the patients that are more likely to end up with a serious infection, which can result in amputation. The most common cause of amputations in the US is diabetic ulcers.

When the blood flow to the extremities is reduced, the immune system cannot fight infection. It cannot send white blood cells and extra nutrients to the area. Of course, blood flow is not always reduced in diabetics, but it is very common. Research indicates that even in people that are able to keep blood glucose levels under control, damage to the tiny blood vessels is common.

According to studies concerning diabetes and foot care, the most effective preventative measures include:

· Daily inspection of the area between the toes, the soles of the feet and the heels, in order to detect injury earlier and reduce the risk of infection · Always wearing socks and shoes, to reduce the risk of injury. A tiny splinter can result in a serious ulceration · Wearing socks and shoes designed specifically for diabetics. They are wider and deeper, reducing the risk of blisters or other injuries · Making use of customized insoles to reduce pain and provide additional support · Annual exam by a regular physician and/or regular visits with a podiatrist · Daily cleansing with warm (not hot) water and the use of a moisturizing cream, being careful to avoid areas between the toes

Recommendations concerning the use of a moisturizer in diabetes and foot care are due to the increased risk of infection in dry, cracked skin. Regular cleansing reduces the buildup of bacteria, which can lead to infection. Avoiding hot water is important, because of decreased sensitivity and increased risk of burns.

The decreased sensitivity is due to nerve damage. This occurs when the blood and nutrient flow to the nerves is reduced. Creams containing l-arginine may help improve blood flow to the nerve endings, which in turn would reduce intolerance of cold and normalize sensations.

Other studies concerning diabetic foot care indicate that the risk of neuropathy (nerve damage) is higher among smokers. Smoking negatively affects circulation and is generally bad for your health.

In order to avoid ingrown toenails and accompanying infection, the nails should be trimmed carefully and as straight across as possible. Special clippers are available to make trimming easier.

If you have problems with excessive perspiration, which is another common side effect, socks made of wicking material are recommended. The material pulls moisture away from the skin, which reduces the risk of fungal infection.

Researchers spend a great deal of time on the subject of diabetes and foot care, because complications can be serious. Follow their recommendations and you'll reduce your risks.

Jerome Kaplan has 30 plus years of experience in the foot health products business. He recommends everyone take foot care seriously, because minor problems today can turn into disasters when ignored. This is especially true in cases involving diabetic foot care.

There are many over-the-counter, affordable solutions that can rectify most common foot conditions. Visit his site to learn more: http://www.FootCareAide.com

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2012年9月18日星期二

Type 2 Diabetes - High Cholesterol Levels, Diabetic Neuropathy and Statin Drugs

High cholesterol levels and unhealthful ratios of all types of cholesterol are known to be frequent in Type 2 diabetes. One of the major systems of your body attacked by poorly controlled diabetes, is the nervous system. Damage to this system is known as diabetic neuropathy. According to research performed at the Al-Nahrin University in Baghdad, Iraq, low levels of high-density lipoprotein (HDL), the healthful or "good" cholesterol particle that helps to clean out your arteries, could be associated with diabetic neuropathy.

According to the report published in April 2011 in the Indian Journal of Endocrinology and Metabolism, 51people diagnosed with Type 2 diabetes, and 31 non-diabetics used as controls, were included in the study. Blood sugar levels, blood pressure and studies of the nerves in their arms and legs, were performed over a period of one year. It was found the people with diabetic neuropathy had significantly higher blood pressures than those diabetics without neuropathy. The people diagnosed with neuropathy had an average of 14 per cent lower levels of HDL cholesterol than the non-diabetics in the study.

Although this preliminary study does not guarantee if you maintain:

a normal blood pressure... 120/80 mm HG, and
healthy cholesterol levels... a good level of HDL cholesterol is at least 60mg/dL, and an optimal level of LDL cholesterol is under 100 mg/dL,

it does not mean you will be safe from developing diabetic neuropathy. But it is true good blood pressure control along with healthy HDL levels, are definitely known to help prevent heart disease... so there could be just be one more reason for maintaining both.

To calculate your cholesterol ratio: divide your total cholesterol by your HDL number. The American Heart Association indicates you should have a cholesterol ratio of, or below, 5:1. It is suggested your goal should be less than 4:1.

To lower total cholesterol levels: a vegan diet is ideal because it does not contain the fats and cholesterol found in animal foods. The Mayo Clinic recommends:

oats, other whole grains and other high-fiber foods such as fruits, vegetables and beans to lower LDL.

almonds, walnuts, hazelnuts, peanuts, pecans, some pine nuts and pistachio nuts can also reduce cholesterol levels.

olive oil is good for lowering LDL levels without affecting HDL levels. Combine olive oil with balsamic vinegar for a tasty salad dressing.

flax seed oil and canola oil are high in omega-3 fatty acids; they not only improve cholesterol levels but help to lower blood pressure.

walking each day, normalizing weight, and stopping smoking are also great ways to increase your HDL levels.

Statin drugs: In case diet, exercise and lifestyle changes are not enough, medications are available to lower cholesterol and improve your total cholesterol/HDL ratios. Drugs in the statins class are usually prescribed by your doctor to lower your total cholesterol and, to a lesser extent, increase HDL levels. They include:

lovastatin (Mevacor),
rosuvastatin (Crestor),
fluvastatin (Lescol),
atorvastatin (Lipitor),
pravastatin (Provachol), and
simvastatin (Zocor).

Statin drugs though, do not always improve the total situation for Type 2 diabetics. What they can do is mask problems by lowering your cholesterol range to "normal" numbers. People with Type 2 diabetes need to have their insulin levels or insulin-to-glucose ratios checked before taking statin drugs. Unless you have your insulin levels checked, you are cooking up a recipe for:

heart disease,
Alzheimer's disease which is sometimes known as Type 3 diabetes, and
even cancer.

High insulin levels are connected to the abovementioned diseases. If your doctor suggests statin drugs to help lower your cholesterol levels, do not hesitate to ask to have your insulin levels checked before commencing them.

Coenzyme Q10: Taking statin drugs can compromise you body's ability to make CoQ10, a heart-healthy nutrient. (Some diabetic medications do this also). A deficiency of Coenzyme Q10 (CoQ10) causes several problems, including shortness of breath, cardiac arrhythmias, heart attack, stroke, and more. So, if you are prescribed statins, also ask your doctor about adding CoQ10 to your medication list?

CoQ10 is helpful for everyone, not just people with Type 2 diabetes. CoQ10 is helpful for anyone who experiences leg cramps and muscle pain which is often the result of the "drug-mugging" effect of statin drugs.

To discover answers to questions you may be asking yourself about Type 2 Diabetes, click on this link... Natural Diabetes Treatments

Clicking on this link will help you to learn more about Type 2 Diabetes Solutions ... Beverleigh Piepers RN... the Diabetes Detective.

Beverleigh Piepers is the author of this article. This article can be used for reprint on your website provided all the links in the article are complete and active. Copyright (c) 2010 - All Rights Reserved Worldwide

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Natural Remedies For Diabetic Neuropathy!

About one in five type 2 diabetics develops a chronic, painful nerve condition called diabetic neuropathy. Nerve tissues absorb sorbitol and cease to function. The exact mechanisms of diabetic neuropathy are hard to describe, but as nerve cells die, remaining nerve cells constantly tell the brain: "We're here! We're here!" by sending signals of burning pain 24 hours a day.

Diabetic neuropathy affects 60 to 70 per cent of all diabetics. Symptoms may range from mild loss of sensation in your feet, right through to constant pain in various parts of your body. Nerve damage may also impair digestion and sexual function, particularly in males, and can also be responsible for a number of other complications.

For 50 years or more, doctors have used antidepressants to treat neuropathy. Antidepressants activate the regions of your brain that can shut out nerve pain. An old-style antidepressant medication called amitryptyline that has been on the market so long it now costs just US $4 for a 30-day supply, and works for many type 2 diabetics who suffer chronic nerve pain. And the antidepressant medication fluvoxamine (Luvox) also can be helpful.

The downside of antidepressants is that they encourage weight gain and they have unpredictable effects on mood. Many type 2 diabetics look at ways of controlling the pain of neuropathy without the expense or side effects of antidepressant medication.

Probably the best non-drug treatment for neuropathy caused by type 2 diabetes, is alpha-lipoic acid. Taken in a dosage of 1,000 to 2,000 mg a day, it acts by first relieving numbness and then relieving pain in most diabetics who take it. An additional benefit of taking alpha-lipoic acid is that it can shore up sagging jaw lines and waistlines, by encouraging the circulation of fluid out of the tissues between fat cells.

If you take alpha-lipoic acid, be sure you also take the B vitamin biotin, as this anti-oxidant depletes biotin. You would need to take 100 mg of biotin for every 1,000 mg of alpha-lipoic acid.

Some natural health products manufacturers also offer R-lipoic acid. This is the alpha-lipoic acid produced by a different process that results in a supplement that is 100% utilized by the body. (About 55% of the product made in traditional manufacture is an isomer of the chemical that is not recognized by human cells). If you take R-lipoic-acid, take half much, plus 200 mg of biotin for every 1,000 mg of R-lipoic-acid.

Would you like more information about alternative ways to handle your type 2 diabetes?

To download your free copy of my E-Book, click here now: Answers to Your Questions ...its based on questions many diabetics have asked me over recent months.

Beverleigh Piepers is a registered nurse who would like to help you understand how to live easily and happily with your type 2 diabetes.
http://drugfreetype2diabetes.com/blog
Beverleigh Piepers is the author of this article. This article can be used for reprint on your website provided all the links in the article are complete and active. Copyright (c) 2010 - All Rights Reserved Worldwide

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How a Type I Diabetic Got Rid of Her Severe Burning Diabetic Neuropathy Foot Pain in Two Minutes

The other day, 'Mary' came back to my health food store to tell

me about her extraordinary miracle. You see, Mary is an

enthusiastic young woman in her early twenties who suffers

from Type One diabetes. Not too long ago, Mary went into a

coma and had to be rushed to the hospital - that's how bad her

diabetes is.

She has also been suffering immensely from nerve damage in her

feet and legs. Her condition had grown worse over time.

Her pain got so bad she was recently rushed to the hospital in the night. All they could do for her was to inject her feet with pain killers to numb her pain. If you knew Mary, this wasn't a solution she wanted.

So she came to see me. She decided to get a bottle of sub-lingual 5,000 microgram vitamin B-12. Three days later she popped back into the store with a big, big grin. She told me that she had put one of the tablets under her tongue right after she'd left the store on the way to her car in the mall parking lot.

Here comes the miracle! By the time she got into her mother's car her terrible burning pain was gone! And it hadn't come back! She took a tablet every twelve hours or so. She said she sometimes she could feel the burning start back up each time she was due for another tablet. But each time the nerve pain vanished!

If you know anyone, ANYONE with diabetes, please forward this

letter to them... do it even if they don't have nerve pain...because they might get hit with it in the future... because sooner or later, nerve damage is extremely common in diabetics.

Your kindness in forwarding this information could save them

from having their foot or leg amputated - that's how important

this is.

You know what? Cancel that last sentence. Send this message on

to everyone on your buddy list, because it will reach more

diabetics that way.

If you haven't received one of my huge health tips before, here

is my vision: Together we can solve the nation's health care

crisis - one person at a time.

William Kelley Eidem is the author of The Doctor Who Cures Cancer. He is also the author of It's Not Just For Sex, available exclusively online at http://www.itsnotjustforsex.com. You can also subscribe to his FREE Huge Health Secrets newsletter at the same address. Follow the link.

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2012年9月17日星期一

Diabetic Neuropathy - A Silent Threat

A recent press release by the Centers for Disease Control stated that the new cases of diabetes increased by 90 percent over the last 10 years. And with diabetes comes a whole new set of complications that patients must seriously think about when being proactive about their health. One such complication is Diabetic Neuropathy. According to the Centers for Disease control it affects 60 to 70 percent of the patients diagnosed with this disease.

So what does Diabetic Neuropathy mean? It means the nervous system becomes damaged over time because of high blood sugar levels in the body. This translates to loss of sensation, tingling, even constant pain in any region of the body but mostly in the feet and extremities. Damage to nerves can also mean that the body looses the ability to regulate blood pressure and therefore circulation to these important parts of the body. Also when applied to the muscles of the feet, poor circulation can lead to weak muscles and can sometimes cause a drop in the mid part of the foot. This in return can cause calluses and ulcerations because of the uneven pressure points when walking. All this can occur with a diabetic not even knowing because of loss of sensation to the feet. Amputation can then become a serious risk when this takes place.

Science has long known the advantage of the application of heat. The physiological benefits include increasing the diameter of the arteries in the body to increase blood flow which in itself has a therapeutic effect. One such product that uses controlled heat for therapeutic healing is the Vitalwrap System. Recent case studies have shown the application of the Vitalwrap system to improve circulation to occluded vessels. One such case study was done on an 86 year old African American female who had a history of Type II Diabetes and also presented with Diabetic neuropathy. Doppler exam also found the client had moderate to severe occlusive arterial disease on both the right and left foot. After only twenty minutes of application of the Vitalwrap system to the left foot improvement in circulation was seen. The left posterior tibial artery saw an improvement of blood circulation from 8.9cm/sec to 13.9cm/sec. Another such case study was done on a 75 year old Caucasian man also with a history of Diabetes Mellitus and pressure ulcer on the second digit of left foot. Improved circulation is especially vital when healing from ulcers. The blood brings the oxygen the tissue needs to restore itself to its original state. After using the Vitalwrap system the left posterior tibial artery went from 22.1cm/sec to 25cm/sec. The dorsalis pedis artery improved as well going from 22.9cm/sec to 38cm/sec. These studies have shown that the vitalwrap system is useful in assisting diabetic individuals in improving circulation and regain a better quality of life.

MMAR Medical is the largest wholesale distributor of comfort and diabetic footwear in the nation, as well as braces, supports, splints, and therapy products. Please visit us online at http://www.mmarmedical.com

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How Diabetic Neuropathy Or Nerve Problems Work If You Have Diabetes

?Other than kidney and eye problems, diabetes could also cause complications of the nerves. This is also known as diabetic neuropathy. This happens when the tiny blood vessels supplying the nerve tissue are damaged. Therefore, the nerves on a diabetic person will suffer from loss of nerve conduction. He or she will also feel numb and tingling along with some pain.

Severity of the nerves problem

It will become worse as time progresses if the diabetes is not kept under control. Fortunately, the nerve problem will take ten years to develop. Therefore, it is not common to see children suffering from such nerve complications. Diabetic neuropathy is most likely to happen in adults.

Worsening of the complication

If the person is older, he or she has a greater risk of suffering from diabetic neuropathy.

The same goes to people who are taller. This is because they have longer nerve fibers, which can have higher chances of being damaged.

People who are alcoholic will only make the problem worse. This is because alcohol and neuropathy are closely connected together.

Why does neuropathy happen

This is because of the speed of the nervous impulse. This speed is also known as nerve conduction velocity or 'NCV'. When a person is suffering from diabetic neuropathy, that person's 'NCV' is slowed. Then, sooner or later, nerves begin to develop mild loss of sensations.

Testing of the nerve fibers

There are certain types of nerve fibers that are responsible for varying sensations like vibration, light touch and temperature.

The following lists some of the ways these fibers can be tested.

Vibration testing

Doctors will use a tuning fork to find out just how much damage the nerve has amounted. If these nerves (that respond to the tuning fork) are damaged, you are most likely to be suffering from balancing problems.

Temperature testing

Some nerve fibers might be damaged. Therefore, you might not realize if it is too cold or not. Loss of temperature sensing happens.

Light touch testing

Doctors will use a filament and place it on your skin of the feet. Usually, if the person cannot feel the filament, then he or she has damaged nerves.

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2012年9月16日星期日

Diabetic Neuropathy

Diabetic neuropathy damages the nerves and the different kinds of pain tell which nerves are affected. The sensory nerves allow people to feel pain, temperature and other sensations. The motor nerves affect the muscles and strength. The autonomic nerves allow people to do involuntary things like sweat. What makes it so dangerous is that somehow, along with the pain and other sensations, it also causes numbness, which can cause people to not realize they've injured themselves and sores do not heal as well in diabetics.

I've found that a real problem for some dealing with this disease is sleeping. Some people's feet are so sensitive that they cannot bear the touch of sheets and may not even be able to wear socks. For these people, heavy blankets are out of the question but there is relief and it can be found by using a blanket lifter. It's also great for those who have pain from arthritis and foot injuries like sprains and breaks.

This device lifts the blankets off your feet while you sleep. My wife has been using this for some time now and has found great relief. She no longer feels the weight of the blankets much less the touch of the sheets. She says she sleeps much better now that she is using a blanket lifter.

I've learned that there are things to beware of, the main one being height. Many seem to have been created long ago when mattresses were thinner or might have been created for hospital beds. That's why I created my own version of a blanket lifter. Our design fits all mattress sizes and installs with ease.

It comes partially assembled and can be put together in 15 minutes. Sizes are for King, Queen, Double and Twin mattress. It fits at the end of your bed under your top mattress, up and over your feet. You can also take it with you when you travel. Just pull it apart at the numbered joints and put it into your suitcase.

I've seen first hand that a Toe Tent blanket lifter is the answer for those nights when your feet are most sensitive and you feel that your blankets are just to heavy. With http://www.TheToeTent.com you can be sure you can get the sleep and rest that you desperately need.

Relief is so very important. Even the smallest amount makes such difference in your life. Why not do all you can to help this problem? Check it out for yourself. You will be glad you did. http://www.TheToeTent.com.

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The Pain of Diabetic Neuropathy

Diabetic neuropathy is the damage to nerves in the body that is caused from blood sugars that are too high. When the blood sugar in a person's body runs higher than it should for long periods of time the nerve endings in the body can be damaged. When these nerve endings are damaged they can cause the person to have a constant burning pain and they can cause the portion of the body that is affected to not function normally.

Generally the condition of diabetic neuropathy is located in the feet and legs of the affected person. The condition can affect any part of the body where there is a nerve located though. People complain of burning sensations in their feet and legs when the nerve damage starts.

Some people say it feels as if their feet have been really cold and then been placed in hot water.

Some people say the sensation is comparable to standing in a bed of fire ants for a prolonged period of time.

Some people say the sensation they feel is like when their leg has gone to sleep and is having the tingling feeling they get when they begin to awaken.

All people agree that the condition is painful and annoying.

When diabetic neuropathy is in the feet of the patient they will have the burning pain but they will lose some of the normal feelings their feet should have. So when these people cut their foot or they damage their foot in some way they are not always aware of the injury. Having an injury go untreated can cause people with diabetes to develop infections. People who have diabetes have a harder time overcoming illnesses like infections so these conditions can lead to amputations of the infected body part.

A lot of the time the people who have diabetic neuropathy in their feet will have difficulty walking or maintaining their balance when they walk. This causes them to have more falls and injuries that are related to falls. Since they have less sensation in their feet they have a very difficult time walking on unlevel surfaces.

Diabetic neuropathy cannot be 100% prevented. After a period of time everyone that has the disease will more than likely develop this painful condition. If a diabetic controls their blood sugar levels they can however, postpone the onset of this condition. A healthy diet and proper exercise are the key factors in delaying this disease.

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2012年9月15日星期六

Type 2 Diabetes - Alternatives Medications Used For Pain in Diabetic Complications

Many pain medications used in Western medicine are opiates, or narcotics, chemically similar to the opium used in other cultures. Medications such as codeine, Percodan, Lortabs, morphine, OxyContin, Percocet and others used for conditions such as diabetic neuropathy are related to opium. An article published in the journal Acta Medica in July 2011, might be something to consider if you or a loved one with Type 2 diabetes is considering taking opiates for pain. The study was performed at Tehran University of Medical Sciences in Iran.

In Iran it is a widely held belief that opium helps to prevent diabetics from getting heart and blood vessel disease, and it is used for that purpose. Two hundred and twenty-eight opium users and 228 non-users, all with diabetes, were included in the study. Coronary artery disease was found to be higher in the users than in non-users. The researchers concluded there is evidence suggesting the use of opium increases the risk of coronary artery disease in people with diabetes.

Fortunately, non-narcotic medications are available for diabetic neuropathy. If over-the-counter drugs such as Tylenol and motrin are not effective, then antiepileptics, lidocaine, or antidepressants are alternatives. Anti-seizure medications used for the treatment of diabetic neuropathy include:

Neurontin,
Topamax,
Lyrica,
Tegretol, and
Dilantin.

It is unclear exactly how anti-seizure drugs help neuropathic pain, but both health problems are due to difficulties in the nervous system.

Alternative drugs prescribed to help with the pain of diabetic neuropathy:

Lidocaine is an anesthetic that can be used locally with a patch which is applied directly to the skin. Up to four patches per day can be used, and the only possible side effect is a skin rash.

Duloxetine, also called Cymbalta, is an antidepressant approved for use in diabetic neuropathy. This medication allows molecules that carry messages from one nerve cell to another to stay in the spaces between nerve cells, where messages are transmitted. In November 2010 the Chinese Medical Journal published an article on the use of duloxetine compared to a placebo for diabetic neuropathy. Researchers at Peking University First Hospital in Beijing found that patients given duloxetine reported significantly less pain than patients taking placebo.

Pamelor, also called Aventyl or nortryptiline, is another antidepressant approved for use in treating diabetic neuropathy. It works by interrupting processes in the smaller nerves and spinal cord that cause pain.

Electrical stimulation is also available when medications are unsatisfactory. Electrodes are placed onto the skin and a mild current is run through them for temporary relief.

Keeping blood sugar levels in the normal range is also helpful for preventing diabetic neuropathy. There are several reasons why nerve damage does take place. It is due partly to the high blood sugar damaging the blood vessels that carry oxygen and nutrients to the nerves. It's also possible there can be inflammation in the nerves, or an autoimmune attack on the nerves.

Some diabetics are able to control the pain of their diabetic neuropathy by:

light aerobics or walking, since physical activity keeps circulation healthy and prevents too much fluid from accumulating.

wearing elastic stockings,

soaking in a warm bath,

massage therapy since it helps to reduce your output of the pain-causing chemical, cortisol,

using a TENS unit which sends out tiny electrical impulses into localized areas can interrupt pain sensations for many people. Your doctor will be able to advise if this is appropriate for you

To discover answers to questions you may be asking yourself about Type 2 Diabetes, click on this link... Natural Diabetes Treatments

Clicking on this link will help you to learn more about Type 2 Diabetes Solutions ... Beverleigh Piepers RN... the Diabetes Detective.

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Acupuncture Can Help Relieve Diabetic Peripheral Neuropathy Pain

If you're a diabetic and have progressed to peripheral neuropathy complications, chances are you've been prescribed medications by your endocrinologist or doctor. Anti-seizure drugs, anti-inflammatory drugs, analgesics, opioids, anti-depressants and topical anesthetics are usually given as medications for diabetic nerve pain. They may have offered you some relief. But you can't endure the side effects of some of your medications.

You'd like to try alternative medicine and someone suggested acupuncture. Does acupuncture really work?

Research on Acupuncture on Diabetic Peripheral Neuritis

As early as 1997, Abuaisha et al of the Department of Medicine, Manchester Royal Infirmary conducted a study entitled, "Acupuncture for the treatment of chronic peripheral diabetic neuropathy: a long-term study." It studied the effectiveness of acupuncture in alleviating the painful symptoms of diabetic peripheral neuropathy.

46 diabetic patients suffering from painful longstanding peripheral neuropathy were involved in this study. The patients were given 6 courses of classical acupuncture over a period of 10 weeks using traditional Chinese Medicine acupuncture points. 44 of the patients completed the treatment with 34 patients or 77 percent exhibiting significant improvement in their symptoms. They were followed up for 18-52 weeks and 67 percent were able to reduce their medications. However, eight or 24 percent required further acupuncture treatment. 34 or 77 percent noted significant improvement in their symptoms while only 7 patients or 21 percent had a clearing of their symptoms. One patient didn't finish the full course. There had been no reported side effects. The study strongly suggests that acupuncture is a safe and effective long term management of painful diabetic neuropathy.

The US National Institutes of Health, the World Health Organization, the National Health Service of the United Kingdom and the National Center for Complementary and Alternative Medicine have endorsed this therapy as alternative and complementary.

What Acupuncture is

If you haven't any idea what it is, it has ancient beginnings in China and is part of traditional Chinese medicine. Very thin but solid sterile needles are inserted in identified areas in the skin called qi, meridians or acupuncture points. It is believed that stimulating these points corrects imbalances to "improve health and well-being." But scientific research finds no histological or physiological correlates for qi, meridians or acupuncture points.

Researchers are not also clear on how acupuncture works but are unanimous that it can relieve pain in a variety of conditions; and reduces nausea and vomiting after surgery and chemo.

A well trained acupuncturist does the procedure. In the US, the practice of acupuncture utilizes medical traditions originating from China, Korea, Japan and other countries.

The Acupuncture Procedure for Peripheral Neuropathy Treatment

The treatment is done on both sides of the body. Acupuncture points are inserted with needles on the hands or feet or both depending upon where the pain is felt. The patient usually lies prone and needles are inserted at specific points in the lumbar or cervical areas of the spine. If neuropathy pain occurs at the hands, needles are inserted at the cervical area and at the lumbar area if pain is felt at the lower extremities. Both lumbar and cervical areas are inserted with needles if both upper and lower extremities are involved. The needle points are actually where the spinal nerves exit from the spinal column and travel to innervate the hands and feet. Points at the feet and hands are also inserted with needles. The combination of techniques reduces sensitivity of nerves and restores them to their normal functions. This actually, relieves the nerve pain of diabetes.

Very thin needles, around 5-20, are used and don't cause much discomfort when inserted. The acupuncturist may move the needles gently or twirl it and you may feel mild aching sensation. Heat or mild electrical impulses can be applied through the needles.

The needles are removal after 10-20 minutes. There should be no discomfort. Your acupuncturist should discard the needles after removal.

Majority says they feel energized after a session. But you may need a series of treatments to feel improvement of your symptoms.

Bottom Line

If you are considering acupuncture to relieve pain of your peripheral neuropathy inform your doctor or endocrinologist. Most important of all, you should continue your insulin or anti-diabetic medications including medications for your neuropathy.

Acupuncture can help in conjunction with nutritional supplements such as alpha lipoic acid, biotin, evening primrose oil, cinnamon and Vitamin B complex. You should continue with your diabetic diet, exercise and blood glucose monitoring. A good control of your blood glucose levels will prevent further deterioration of your diabetic peripheral neuropathy.

Be sure to seek a licensed acupuncture practitioner. In the US, qualified acupuncturists are members of the American Association of Oriental Medicine. You can find one in your area.

A B Stephens is a chemical engineer by profession. Her passion to help diabetics stems from the fact that members of her family and her husband's family are diabetics. They launched http://www.typefreediabetes.com in 2007 - a one-stop shop for people who have diabetes - a lifestyle store complete with whatever a diabetic would need to live his/her life to the fullest! Numerous studies have proven that nutritional supplements such as alpha lipoic acid, biotin, evening primrose oil, acetyl-L-carnitine, bromelain, quercetin, black currant seed oil and other supplements can help in the treatment of diabetic neuropathy. http://www.typefreediabetes.com/Diabetic-Neuropathy-Supplements-s/11556.htm

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Diabetic Neuropathy and Seven Special Foot Care Tips!

The foot is the most common part of the body affected by peripheral neuropathy in the person with type 1 or type 2 diabetes. Although peripheral neuropathy can also affect your legs, arms and hands. Nerve damage often first appears as:

discomfort
tingling
sensitivity to touch
loss of co-ordination
numbness or the sensation of pins and needles

If any of the above are present and then disappear, this could mean your nerve cells have been permanently damaged. When this happens your foot or feet are insensitive to touch and pain. Although the absence of pain is definitely a relief, it leaves you vulnerable to several deadly complications, including life-threatening infections.

It is very important for people with diabetes to check their feet every day, checking for:

cuts
scrapes
swelling
bleeding
any sign of infection including any discharge from wounds

If left untreated, infections can spread to your bone and lead to amputation of the affected toe, foot or lower leg. Reports show half of the annual lower limb amputations world-wide, are performed on people with diabetic neuropathy. These amputations can be prevented by simply paying more attention to your feet and any sign of infection.

With all of this in mind, here are seven foot care tips:

1. Wash your feet daily with soap and water. Do not use hot water or soak your feet. Make sure your feet are dry, especially the area between your toes.

2. Apply a gentle hand cream especially if your feet are rough and dry.

3. Inspect your feet daily for cuts, blisters, redness, swelling of any other problem. To see the base of your feet use a mirror.

4. Cut your toenails to follow the shape of the end of your toes, not deep into the corners. This is best done after your bath or shower.

5. Protect your feet by wearing properly fitting shoes. Run your hand around the inside of your shoes to check there is nothing that will hurt your feet.

6. Seamless socks will help to avoid irritating your feet. Of course, stockings and socks should be changed daily.

7. See your podiatrist regularly. Don't hesitate to see your podiatrist or health care provider about any problems.

Even if you have no nerve damage and normal blood supply to your feet, your must take good care of them as neuropathy is related to poor blood pressure and blood sugar control.

By keeping your blood sugar levels under control you can reduce the likelihood of developing peripheral neuropathy in the future.

If you would like to download a free copy of my E-Book, click here now: Answers to Your Questions ... it's based on questions diabetics have asked me over recent months.

Beverleigh Piepers is a registered nurse who would like to help you understand how to live easily and happily with your type 2 diabetes.

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2012年9月14日星期五

What Are the Common Treatments For Diabetic Neuropathy?

Both diabetes type I or diabetes type II have certain health complications that go along with contracting the disease. Each type of this affliction is developed by insulin not being readily available in the blood. One of the side effects of diabetes is neuropathy or nerve damage that can affect all parts of the body. Diabetic neuropathy is a serious condition that can be treated in a variety of different ways.

The first and best way to avoid nerve damage that can result from diabetes is to keep a solid hold on blood sugar levels. This is a preventative measure that can have other positive effects on a diabetic's bodily systems. However, this can directly curb the effects of nerve damage on the system by never letting them develop. Monitor the blood sugar levels and keep them in their target ranges when battling diabetes to avoid nerve damage.

There will be a lot of pain in areas that have had nerve damage brought on by diabetes. When this occurs, a physician will prescribe a variety of oral medication to help curb these pains. Unfortunately, this damage is usually irreversible, so this becomes a lifelong struggle that people will have to deal with.

Gastrointestinal problems can also arise from nerve damage brought on by a long time battle with diabetes. When the body fights diabetes and sugars get out of control, there is a wide range of negative effects on the intestines, colon, and other parts of the digestive tract in the body. To treat these problems, doctors usually prescribe medications to help with nausea, indigestion, and gas. Also, people battling this complication should eat smaller meals more frequently.

Different urinary and sexual arousal problems can occur in both men and women when dealing with this affliction. For women, urinary tract infections can set in much more quickly when dealing with the effects of nerve damage on the body. For men, nerve endings in penis can become damaged, which will make it much harder for a man to get an erection.

While there are many effects all over the body brought on by diabetic neuropathy, they can all be prevented from occurring by merely keeping blood sugar levels and blood pressure in their target areas. People who do not are susceptible to different types of nerve damage. Seek out a doctor as soon as possible if you're a diabetic with any of these problems.

If you recognize that you are showing some of the diabetes, be sure to take a Diabetes Symptoms Quiz. You should also recognize that you can take a diabetes home test to test yourself for diabetes. Click on the previous links to find out more about these options.

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2012年9月13日星期四

All About Diabetic Neuropathy

The tingling, burning, itching, and numbness of diabetic neuropathy are well known to all too many diabetics. But did you know that the condition can be triggered not just by high blood sugars but also by too much salt?

After five to ten years of poorly controlled diabetes, many diabetics experience a form of nerve damage known as diabetic neuropathy. This condition manifests itself in an astonishing number of ways. There can be the well-known

Numbness or insensitivity to pain or temperature
Tingling, burning, or prickling
Sensitivity to touch, even light touch and
Sharp pains and cramps

of peripheral neuropathy. But there can also be the

Bloating, alternating constipation and diarrhea (diarrhea is worse at night), nausea and vomiting, loss of appetite
Copious sweating while eating
Dizziness when moving from seated to standing position
Overheating and
Problems with bladder control

of autonomic neuropathy. And there can even be the

Aching behind an eye
Chest or abdominal pain sometimes mistaken for angina, heart attack, or appendicitis
Double vision
Inability to focus the eye
Pain in the chest, stomach, or flank
Pain in the front of a thigh
Severe pain in the lower back or pelvis and
Problems with hearing

of focal neuropathy, all caused or aggravated by prolonged, uncontrolled, high blood sugars in diabetes.

All of these wide-ranging varieties of nerve damage in diabetes stem from a combination of high blood sugars, deficiencies in antioxidants, high triglycerides and cholesterol, and too much salt. Uncontrolled blood sugars cause an accumulation of hydroxyl radicals, peroxinitries, and superoxides, all of which soak up antioxidants needed to protect nerves. If there are enough antioxidants in circulation, however, the free radicals don't do damage.

When there is a shortfall in available antioxidants, free radicals attack the structure of a nerve, causing it to be riddled with holes, known as vacuoles. When enough vacuoles accumulate, the nerve simply dies.

Treating this panoply of nerve problems is accomplished, as you might imagine, with antioxidants. The best-studied antioxidant for this purpose is alpha-lipoic acid. Relatively high doses of alpha-lipoic acid, 600 to 1800 milligrams a day (the absolute maximum you should take), often restore sensation and then relieve burning over a period of 3 to 4 weeks.

You do have to continue to take the alpha-lipoic acid to get its benefits, and you should take a formula that combines alpha-lipoic acid with the B-vitamin biotin, which alpha-lipoic acid depletes. Or, even better, keep your blood sugars under control. Just a few weeks of keeping blood sugars under 100 mg/dl (5.5 mM) all the time, not just after meals, begins to reverse diabetic neuropathy in noticeable ways.

There are several other ways to treat this condition:

Acupuncture relieves pain, but it won't work if you are on certain antidepressants. That's because the mechanisms through which acupuncture relieves pain depends on an adequate amount of serotonin at the nerves. If you are still building up serotonin levels, the acupuncture will not work.
Transcutaneous electrical nerve stimulation (TENS) can relieve pain caused by neuropathy in the hands and feet. Just don't start with the setting too high.
And if dizziness is a problem, try elastic stockings. Keeping circulation going to the brain prevents vertigo.

Want to know more about diabetes glucose level?
Do you have diabetes leg pain or cramp? Learn more on diabetes leg pain.

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Understanding the Need For Diabetic Neuropathy Socks

Diabetes is among the most difficult conditions to manage. Caused by a defect in insulin production, either the absence or inadequacy of it, this condition poses a lot of risks and is known to lead to many different complications all detrimental to one's health. All are aware that when one suffers from diabetes, they most likely are prone, or may already have existing foot problems. Why a diabetic easily develops foot problems is due to the conditions manifested by the disease itself. Though diabetes is characterized by other symptoms as well like very high blood sugar levels, excessive thirst and increased urination, poor circulation and neuropathy are the very culprits leading thousands of diabetics every year to permanent loss of limbs.

As the peripheral nervous system is responsible for the transmission of information from the brain to the peripheries, at the same time sending back sensory from the peripheries to the brain, any damage to it would interfere with all these connections. This is very common in diabetes. When that happens, any injury to the feet is not easily recognized by the brain, leaving them untreated for a long period of time. Eventually, infections would develop leading to complications. Poor circulation is caused by the disease's tendency to harden and block the arteries, limiting transport of blood, oxygen and nutrients to the rest of the body. The extremities become the most deprived areas when circulation is not good. Poor circulation slows down healing and even none at all. The lack of circulating blood reaching the injuries leads to gangrene, or death of tissues, which would have to eventually require amputation.

Sure there are treatments for diabetes available around. But like any other condition, preventing complications from ever occurring in the first place is always the best approach. In diabetes, when medication is required, taking it as scheduled is important. Regular blood sugar checks as well as other preventive measures advised by the physician should be strictly followed. Foot problems are most prevented by protecting your feet from any forms of injury. There are many socks intended for diabetics made available for those with the condition. Socks intended for peripheral neuropathy, which is as easily available, is best for diabetics. They are made with the most ideal fit to provide utmost comfort and relief from pressure. Materials are well chosen for these kinds of socks to provide needed warmth for colder climates.

As peripheral neuropathy often demonstrates numbness and tingling sensations of the hands and feet, and oftentimes lack of sensation at all, neuropathy socks for diabetics is designed to give ultimate protection to the feet. Some peripheral neuropathy socks are even laced with electro massage devices to improve circulation. Check them out at drugstores, local shoe departments and online. Start protecting your feet by being wise in choosing your socks.

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Charcot's Foot was discovered in the eighteenth century by a Frenchman named, Jean-Martin Charcot (pronounced-Charcoh). I never heard of it until I got it. I wish I had never heard of it, at all. None of my friends or family ever heard of it before. Almost all of my doctors and nurses knew about it. It is a fairly common disease among Diabetics but it is not exclusively their domain. Doctors still aren't exactly sure why it happens. Some thoughts are that it is due to Diabetic neuropathy or nerve damage to the feet, which is a fairly common condition among Diabetics. They think that Diabetic neuropathy softens the bones in your feet and allows them to shift and to fracture easily. Also, since you can't sense pain with Diabetic Neuropathy, you aren't even aware that anything is happening to your feet. It isn't necessary to have any trauma, for this condition to occur. At least that is one theory.

Usually the symptoms are simply that one foot is warmer than the other even though circulation is usually good. There may be some swelling or redness. This may be all the symptoms that initially show and they can come on quite quickly. These symptoms really don't alert anyone to the seriousness of this disease. If the condition is found early enough, the best treatment is rest. The foot should be completely immobilized for six to nine months. When a doctor told me that, I thought he was absolutely crazy. I was wrong. If it is not caught early enough, the most probable next step is surgery.

Muscles can no longer support the foot. Damage to the foot can easily go unnoticed because of Diabetic neuropathy and not feeling your feet. As a result ulcers and deformity of the foot can occur. The arch may collapse. The foot alignment may also go haywire.

This is what happened to me. It seemed like it happened suddenly, out of nowhere. My arch totally collapsed, I developed a huge bump (from bones shifting and breaking) in the middle of my foot, on the inside, where my arch was. It is unbelievable but I felt No pain because of the nerve damage. My foot veered way off to the right. When I went to see my Podiatrist, he dubbed me,"Mr. Crooked Foot". It looked awful. I can't recall any trauma that began this condition. It just seemed to happen.

From researching on the internet and talking with my Podiatrist it became very clear that the only way to stabilize my foot was with surgery. My doctor told me he would have to fuse the joints of my foot so that they would not deteriorate any further. In layman's terms, this meant putting a bunch of titanium screws in the bones of my foot to hold them together until they were able to fuse naturally. It is about a nine to twelve month process for the bones to heal and fuse completely. That means being in a cast or a boot up to my calf for that time period. Also, being mostly on crutches or in a wheelchair. It was essential that there was no pressure or weight-bearing on my foot for this whole time. Whoopee! Thank God for my computer. It definitely kept me sane while I was in-firmed.

So, on May 4, 2010 I had yet another surgery on my foot. This one lasted for seven hours. The doctor made three incisions on the top of my right foot. Each one was about two inches long. He inserted thirteen titanium screws into the bones at the joint where my arch was. It had collapsed and the bones now sort of overlapped each other. The screws job is to hold the bones in place until they could fuse together. Amazingly, I felt no pain, before, during or after surgery. I really like that part. He also added two kind of braces to help align my foot. The screws held the braces in place. When looking at my X rays, I count thirteen screws. It could even be more. I guess I'll never be going through metal detectors any time soon. I broke one of the screws while healing. I'm a big guy. My doctor said that was not uncommon. It was kind of scary though.

For the next nine months, I saw the foot doctor about every three weeks. First, X-rays were taken before each visit for the doctor to study. He could see how the healing was progressing, inside my foot. Weight-bearing was not permitted on that foot. My days and nights were in a wheel chair. If I needed to walk, it was on crutches. Sad to say, I gained quite a bit of weight because of my inactivity. That will come back off in the next six or nine months. (I hope!)

If you are really courageous and aren't easily grossed out Go to Google, type in Charcot's foot and then click on images. There are many pictures of what this disease looks like and they ain't pretty.

In retrospect, I wish I had taken my Type 2 Diabetes more seriously from the start and kept my blood sugar under better control. I had no idea how dangerous a disease it was. I can't change what happened now. I doubt that I would have had these complications if my blood sugar had been under better control. My ignorance of Diabetes cost me greatly. The good that has come out of this experience is that my blood sugar is now very strictly controlled. My health has improved. I am conscious of what I eat at all times (well almost all times. I still have some weaknesses). I count carbohydrates for better blood sugar control. I exercise. I like to walk but it seems that when I do, I get blisters or open sores on my feet. They may be dangerous. So now I am riding a bicycle for exercise. It's a lot less demanding on the feet. That's something I haven't done since I was fourteen years old. It is fun, though and I enjoy it.

Some doctors told me that they thought that I probably had my Diabetes for ten to fifteen years before diagnoses. That sure came as a shock! A simple blood test will give you a Hemoglobin A1c (HbA1c) reading that tells what your average blood sugar was for the past three months. This is necessary for the doctors to see where your blood sugar has been in the long-term. It tells you more than just one moment in time which you can get from a finger stick. My current doctor has me shoot for an A1c of under 7. (my last test was 6.2 which is excellent). Every Diabetic should have their A1c tested every three months. Then once your blood sugar is under good control you can stretch the testing to every six months. When I first walked into the doctor my A1c reading was 15.6. That's about equal to blood sugars in the mid 500's. For a Type 2 Diabetic they should be around 160 or less. I was pretty sick and didn't even know it. I believe that my inaction and ignorance was what led to the complications that I have suffered through, since.

My sincere goal is that anyone who reads my story, may look at Diabetes a little more seriously. You should see a doctor for a diagnoses if you have any suspicions or family history of it. The symptoms are pretty easy to see. Family history of Diabetes. Unending thirst. Many, many trips to the bathroom. Burning, tingling, or "pins and needle" sensations in the feet and /or hands. These are only some of the main symptoms to look out for. If you manage to control Diabetes early, many of the serious complications, that happened to me, shouldn't happen. If you let it go on, it could be years before it is even noticed. By then, it's too late. Diabetic Neuropathy and its many possible complications may have already begun. Share your story with me. I know mine isn't the worst.

I am Robert Emanon and I am a retired carpenter with the double whammy of diabetes (type 2) and tinnitus. I am going to write about my experiences with both and recommend help that I have found through my research. Take this dangerous disease seriously. It can attack every part of your body!

If you want further information please contact me at: bobemanon65@gmail.com

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Diabetic Neuropathy

2012年9月19日星期三

Diabetic Neuropathy of Your Feet Affects Balance - What You Can Do to Prevent Falls!

Diabetes and Foot Care, Diabetic Neuropathy and More

2012年9月18日星期二

Type 2 Diabetes - High Cholesterol Levels, Diabetic Neuropathy and Statin Drugs

Natural Remedies For Diabetic Neuropathy!

How a Type I Diabetic Got Rid of Her Severe Burning Diabetic Neuropathy Foot Pain in Two Minutes

2012年9月17日星期一

Diabetic Neuropathy - A Silent Threat

How Diabetic Neuropathy Or Nerve Problems Work If You Have Diabetes

2012年9月16日星期日

Diabetic Neuropathy

The Pain of Diabetic Neuropathy

2012年9月15日星期六

Type 2 Diabetes - Alternatives Medications Used For Pain in Diabetic Complications

Acupuncture Can Help Relieve Diabetic Peripheral Neuropathy Pain

Diabetic Neuropathy and Seven Special Foot Care Tips!

2012年9月14日星期五

What Are the Common Treatments For Diabetic Neuropathy?

2012年9月13日星期四

All About Diabetic Neuropathy

Understanding the Need For Diabetic Neuropathy Socks

2012年9月12日星期三

Diabetic Complications: Diabetic Neuropathy and Charcot's Foot

A Case Study in the Treatment of Diabetic Neuropathy

2012年9月10日星期一

Diabetic Neuropathy - Exactly What is it and What Can You Do About It?

Alpha Lipoic Acid Diabetic Neuropathy

Four Tips For Managing Diabetic Neuropathy

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