If you have diabetes and peripheral neuropathy, it's critical that you carefully control your blood sugar levels. High blood sugar levels over time damage the blood vessels and nerves in your legs and feet. Fortunately, a good diet and regular, moderate-intensity exercise can help improve your body's use of insulin.
Adopting healthy eating and exercise habits is important because it keeps blood sugar levels under control. In addition, studies show that lifestyle changes can prevent the development and slow the progression of neuropathy. And exercises that improve circulation, like walking, can help relieve pain.
The Diabetes Prevention Program (DPP) was a major clinical trial, or research study, aimed at discovering whether either diet and exercise or the oral diabetes drug metformin (Glucophage) could prevent or delay the onset of type 2 diabetes in people with impaired glucose tolerance (IGT).
The answer is yes. In fact, the DPP found that over the three years of the study, diet and exercise sharply reduced the chances that a person with IGT would develop diabetes. Metformin also reduced risk, although...
To change your lifestyle and help peripheral neuropathy:
Get regular physical activity. Ask your doctor for an exercise routine that is right for you. Aside from helping you reach and maintain a healthy weight, exercise also improves the body's use of insulin and improves circulation. It also strengthens muscles, which improves coordination and balance. Your doctor can get you started on an exercise program that won't be hard on your feet – such as walking, swimming, biking, or yoga. You may need to limit exercises that are hard on your feet, such as running or aerobics. People with neuropathy -- especially those with bone deformities -- should always wear well-fitted shoes to avoid pressure sores and ulcers on the foot.
If you smoke, stop. Smoking makes circulatory problems worse, and it worsens the symptoms of peripheral neuropathy. It also greatly increases the risk of heart disease in people with diabetes. Talk to your doctor about ways to quit smoking. Often, people turn to counseling and drug therapy such as nicotine patches, gum, prescription medication, or other aides. Antidepressants can also help reduce cravings and help control pain from neuropathy at the same time.
Carefully limit alcohol. Alcohol can worsen peripheral neuropathy and make it hard to control your blood sugar levels.
Diet and Peripheral Neuropathy
To keep blood sugar under control, it's important to follow the right meal plan. A well-balanced diet can make a big difference. You might want to consult with your doctor or a dietitian to learn what foods are best, when to eat, how much to have of each, and what to avoid.
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