Diabetic Neuropathy

Explain, that diabetes is the most common cause of neuropathy. Peripheral neuropathy is the most common form of diabetic neuropathy. Your feet and legs are often affected first, followed by your hands and arms.

They include: heart and blood vessels, eyes, kidneys, nerves, gums and teeth. In regards to the heart and blood vessels, there are approximately 65% of death that is caused by diabetes due to major complication of heart disease and stroke. In the peripheral artery diseases diabetes also plays a major role in the cause of poor blood flow in the legs and feet. Many studies show that controlling diabetes can prevent or stop the progression of heart and blood vessel disease. Blood vessel damage or nerve damage may also lead to foot problems that can lead to amputations. More than 60% of leg and foot amputations not related to an injury are due to diabetes. Another complication of diabetes is the leading cause of blindness in the U.S. There has been a number of eye problems that if not addressed can lead to eye blindness which include: glaucoma,cataracts and diabetic retinopathy. Ninety percent of diabetic-related blindness as study shown could be prevented if there would be regular eye exams and timely treatment of diabetes-related eye problems. Furthermore, kidney failure is also one leading cause of further complication that resulted from uncontrolled diabetes in the U.S. It is said that drugs that help lower blood pressure can help the chance to developing kidney failure by 33%. Also diabetes on nerves can lead to loss of sensation or pain and burning of the feet because nerves are harmed due to over time high blood sugar levels. It can also

Those who are diabetic may also be in risk of blindness (diabetic retinopathy) and nerve damage (diabetic neuropathy). Diabetic neuropathy can lead to numbness in hands and feet, foot ulcers, and eventual limb amputation (World Health Organization). Taking preventive steps can help to avoid many of the complications of diabetes.

Most patients who have diabetes for an extended amount of time may end up with diabetic neuropathy, which is damage caused to the nerves; it affects the peripheral nerves, autonomic nerves, and focal nerves. From the high blood sugar, it can destroy parts of the patient’s blood vessels, heart, and kidneys. If diabetes is not treated, it will almost always cause heart disease or kidney disease.

Why are nerves often damaged in patients with diabetes mellitus, and what are some of the

Diabetic neuropathy can occur with long-term diabetes, usually after several years of uncontrolled high blood glucose. Glucose proteins, called glycoproteins, form in the nerves primarily those in the legs and feet. When the nerves in the feet are damaged, the brain cannot recognize pain in that area. Nerve damage from diabetic neuropathy can lead to weakness in the muscles in the legs and feet. Since the muscles work as a system, neuropathy can lead to other foot problems, such as hammertoes, calluses, bunions, and other foot deformities. These deformities are dangerous because of the risk of infection. A simple blister from a tight shoe can spell disaster

7. Examine your feet. Diabetes-related nerve damage can mean that you might have minor injuries to your feet that you can’t feel. This can lead to infections and other complications. Check the soles of your feet daily. Put lotion on them at night to keep the skin in good condition. Wear comfortable shoes that fit correctly. Ask your doctor to examine your feet whenever you have an office visit.

It is estimated that 387 million people, globally live with diabetes (Phillips & Mehl, 2015). According to Medical News Today [MNT], diabetes is a metabolic disorder; which causes patients to be extremely thirsty and produce a lot of urine. Diabetes arises due to high blood pressure, due to the body not being able to produce enough insulin or because the body does not respond well to high insulin levels (MNT, 2016). There are four types of diabetes; there is the pre-diabetic stage, type 1 diabetes, type 2 diabetes and gestational diabetes. In 2014, 29 million people died due to diabetes. This equates to 1 diabetic patient dying every seven seconds due to preventable complications (including complications affecting lower limbs) caused by diabetes. It is said that 20-40% of health care costs are spent on the treatment of lower limb complications due to diabetes. The risk of a diabetic patient developing a foot ulcer is 25% and foot ulcers account approximately 85% of lower limb amputations. Diabetic complications that affect lower limbs are caused by both type 1 and type 2 diabetes (Phillips & Mehl, 2015). It is said that the World Health Organization described diabetic foot syndrome as including all possible complications in relation to the feet of a diabetic patient. Diabetic foot syndrome is defined as the ulceration of the foot, from the ankle downwards. Causes of foot ulceration include peripheral sensory neuropathy, vascular disease (ischaemia) and infection

People who have cancer, shingles, and diabetes are more susceptible to be Diabetic Neuropathy victims. They often experience the effects of this condition in their legs and feet, so it is very important for people with this condition to take care of their feet. Some of the symptoms are numbness, tingling, pain, and burning. Nerve pain varies in everyone with this condition. Some people may feel like they are walking on hot coals or sleeping with stabbing pains while other people may just not be able to feel their fingertips and it is like they are wearing gloves. People who have more severe cases often have trouble sleeping because they feel excruciating pain from the weight of their bodies on the bed and pain and burning just from the pressure from a blanket. Creams, sprays, and medications can help decrease the symptoms of Diabetic Neuropathy, but in the end, it just comes down to living a healthy

Vascular diseases that prevent blood flow to the small vessels are common in people with diabetes. This condition can affect the feet in particular, so you should make regular visits to a podiatrist. People with diabetes also have a reduced ability to heal even minor blisters and cuts. A podiatrist can monitor your feet for any serious infections that could lead to gangrene and amputation.

Diabetic Peripheral Neuropathy (DPN) is one of the most common microvascular complications in diabetes and can result in foot ulceration, ampuation and an impaired quality of life(Carrington AL, et al 2002,Boulton AJ,et al 2004). The reported prevalence of diabetic peripheral neuropathy ranges from 16% to as high as 66%2 and its prevelance is believed to increase with the duration of diabetes and poor glucose control.(Boulton AJ.et al 2000) It’s accounts for 50–75% of non-traumatic amputations in diabetic patients.(Holzer SE, et al 1998, Boulton AJM, 1998,Malay DS, et al 2006)

Uncontrolled blood sugar levels irritate the skin tissue causing it to break down and exposing the layer underneath (Kim, 2016). The most common sites are on your big toes and balls of your feet, and they can affect your feet down to the bones. According to Steven Kim (2016), diabetic ulcers are commonly caused by poor circulation, high blood sugar (hyperglycemia), and nerve damage. Poor blood circulation would not allow adequate blood flow to the feet, therefore making it difficult for ulcer to heal. Hyperglycemia can decrease the wound healing process of a diabetic foot ulcer, so blood glucose management is critical for all diabetic patients (Kim, 2016). Nerve damage/ peripheral neuropathy can result in loss of sensation in the feet due to repetitive stress. Damaged nerves can feel tingly and painful at first, but eventually results in loss of sensation which can lead to painless wounds that can cause ulcers (Kim, 2016). Thus, when patients come in with diabetic foot ulcers it is beneficial to know the cause, so the health care team can determine the course of

Diabetes Mellitus Type 2 with Diabetic Peripheral Neuropathy, Diagnostic Code 250.60, E11.42 – “ Stoke Risk 2-4 Times Higher than Non-diabetics” [5]

Diabetes neuropathy (DN) is a neurological disorder associated with Diabetes Mellitus (DM), also known as Type-2 diabetes (Menz, Lord, St George, & Fitzpatrick, 2004). Diabetes neuropathy has many integral complications that circulate around the biomechanical impairments of the feet, especially in the elderly population with diabetes (Richardson, Thies, DeMott, & Ashton-Miller, 2005). DN has worrying health risks as it has harmful effects on stability, gait efficiency and function (Menz, Morris, & Lord, 2005). Richardson (2004) stated that gait and stability are of interest because a large number of falls in elderly population with and without DN occur during locomotion, which inturn affects their daily living. Speed, frontal plane control, and load distributions of the feet are connected to these changes in balance and gait impairments, which generate the increased risk of falls in elderly diabetic patients (Brach, Talkowski, Strotmeyer, & Newman, 2008). This paper will concentrate on two themes within literature focusing on the association between Diabetes neuropathy and the Elderly population: One, The alterations in gait, and two, on balance. Critique analyses of this literature will be made, in terms of its strengths and weakness based on its influences on findings. Also final suggestions on further possible enquiry will be made on the aspect of this topic.

The diabetic foot disease is the leading cause of non-traumatic lower-limb amputation and results from three common pathologies: diabetic peripheral neuropathy, peripheral arterial disease, and infection. Late complications include foot ulceration, Charcot neuroarthropathy and amputation (Turns, 2013, p.422) though another specialist like, Iraj who wrote Prevention of Diabetic Foot Ulcer, added to the most common facts: deformities and minor