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Diabetic Neuropathy

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Diabetic Autonomic Neuropathy continued...

Treatments of autonomic neuropathy of the blood vessels may include:

  • Avoid standing up too quickly
  • Medications
  • Wearing special stockings

Symptoms of autonomic neuropathy of the male sex organs may include:

  • Unable to have or maintain an erection (erectile dysfunction)
  • "Dry" or reduced ejaculations

Note:Impotence needs to be evaluated by your doctor. It may be caused by your medicines or something other than diabetes.

Treatments of autonomic neuropathy of the male sex organs include:

  • Counseling
  • Penile implant
  • Vacuum erection device
  • Penile injections
  • Medication

Symptoms of autonomic neuropathy of the female sex organs may include:

  • Decrease in vaginal lubrication
  • Decrease in number of orgasms or lack of orgasm

Treatments of autonomic neuropathy of the female sex organs include:

  • Counseling
  • Vaginal estrogen creams, suppositories, and rings
  • Medications to help reduce the symptoms of painful sex due to menopause
  • Lubricants

Symptoms of autonomic neuropathy of the urinary system may include:

  • Unable to completely empty bladder
  • Bloating
  • Incontinence (leaking urine)
  • Increased urination at night

Treatments of autonomic neuropathy of the urinary system include:

  • Medication
  • Self-catheterization (inserting a catheter into the bladder to release urine)
  • Surgery

Diabetic Proximal Neuropathy

Diabetic proximal neuropathy causes pain (usually on one side) in the thighs, hips, or buttocks. It can also lead to weakness in the legs. Treatment for weakness or pain is usually needed and may include medication and physical therapy. The recovery varies, depending on the type of nerve damage. Prevention consists of keeping blood sugar under tight control.

Diabetic Focal Neuropathy

Diabetic focal neuropathy can also appear suddenly and affect specific nerves, most often in the head, torso, or leg, causing muscle weakness or pain. Symptoms of diabetic focal neuropathy may include:

  • Double vision
  • Eye pain
  • Paralysis on one side of the face (Bell's palsy)
  • Severe pain in a certain area, such as the lower back or leg(s)
  • Chest or abdominal pain that is sometimes mistaken for another condition such as heart attack or appendicitis

Diabetic focal neuropathy is painful and unpredictable; however, it tends to improve by itself over weeks or months and does not tend to cause long-term damage.

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