A diagnosis of
diabetic neuropathy is based largely on your symptoms,
medical history and physical examination. During a physical exam, your
doctor may check how well you feel light touch, temperature, pain, vibration, and
movement. Your doctor may also check your strength and reflexes.
Electromyogram (EMG) and nerve conduction studies may
be done to confirm a diagnosis. These tests measure how well and how quickly
the nerves conduct electrical impulses. When nerve damage is
present, the speed of nerve function slows.
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.
You've heard breakfast is the most important meal of the day, and that's especially true when you have type 2 diabetes. A healthy breakfast can help you control your weight and keep blood sugar stable, says Melissa Joy Dobbins, RD. She's a Chicago-based certified diabetes educator.
What should your focus be for the first meal of the day? When you have diabetes, it's key to keep total carbs consistent day to day, get more fiber, choose fewer processed foods, and make heart-healthy choices, Dobbins...
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
November 14, 2014
This information is not intended to replace the advice of a doctor.
Healthwise disclaims any liability for the decisions you make based on this