with autonomic neuropathy—which affects the nerves that control internal
functions—can be hard to diagnose. When new symptoms develop, more
testing may be needed to diagnose the problem, identify the cause, and guide
treatment. For example, a study that measures how fast your stomach empties may
be done if symptoms like bloating, indigestion, or vomiting suggest
gastroparesis, a condition that causes the stomach to
take too long to empty.
Nerve pain caused by diabetes, known as diabetic peripheral neuropathy, can be severe, constant, and hard to treat. It may start as a tingling feeling, followed by numbness and pain. But there are two key points that everyone with diabetes and peripheral neuropathy should know:
Controlling your blood sugar can keep the pain from getting worse and improve your health.
Medications can help relieve nerve pain, make you more comfortable, and improve your quality of life.
For some diseases, doctors can use screening
tests to look for problems before you have any symptoms. But doctors can't
test for all types of autonomic or focal neuropathy. So it is important to
report to your doctor any pain, weakness, or motor problems you have. Also
mention any changes in digestion, urination, sexual function, sweating, or
dizziness. Your doctor will also look for signs of autonomic neuropathy during
your physical exams.
The American Diabetes Association (ADA)
recommends that people who have diabetes see a doctor to examine their feet for
cracked or peeling skin, excessive or reduced sweating, blisters, calluses,
ulcers, signs of infection, bone and joint abnormalities, and walking and
balance—during each medical visit. The ADA also recommends a complete foot exam
by a doctor at least once a year.1 This examination
can detect a loss of sensation in your feet, which can lead to more serious
In this article
This information is produced and provided by the National
Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National
Institute via the Internet web site at http://
.gov or call 1-800-4-CANCER.
WebMD Medical Reference from Healthwise
August 13, 2013
This information is not intended to replace the advice of a doctor.
Healthwise disclaims any liability for the decisions you make based on this
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If the level is below 70 or you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.
People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.
Congratulations on taking steps to manage your health.
However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.
Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.
Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.
One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.
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