Diabetic Neuropathy - Treatment Overview
Autonomic neuropathy—which affects nerves that
regulate internal functions—can affect digestion, urination, sweating, sexual
function, blood pressure, and other involuntary body functions. Some symptoms
of autonomic neuropathy can be hard to manage, but others respond well to
- Mild constipation.
Eating small, frequent meals that are high in fiber and low in fat may
- Frequent diarrhea. Eating foods that
are high in fiber may help. You may need medicines that slow the rate at which
digested food and waste travel through the intestines, or you may need
antibiotics such as amoxicillin, metronidazole, or tetracycline.
- Mild gastroparesis. This is a
condition that causes the stomach to empty very slowly. It may get better if
you eat small, frequent meals that are low in fiber and fat. Medicines that
help the stomach empty more quickly may also be needed. Controlling blood sugar
levels may reduce symptoms of gastroparesis.
- Abnormal sweating. If you
sweat a lot, try to avoid intense heat and humidity. If you don't sweat enough, you can use
moisturizers to help with dry or cracked skin. Drinking more water can prevent
overheating. Try to avoid places that are very hot or very cold.
- Lack of awareness of low blood sugar level. This is also called
hypoglycemia unawareness. You can adjust your insulin
and allow your blood sugar levels to be a little bit higher than the target
range. Usually it is recommended that you keep your A1c in a target range.
- Urinary problems. Urinary problems can be treated with antibiotics for urinary tract infections
and medicines to improve bladder control.
- Sexual problems. Your doctor may suggest using medicines or devices to improve
erections. Or you may need nonprescription lubricants and estrogen creams for
- Blood pressure problems. High blood pressure may be
treated with angiotensin-converting enzyme (ACE) inhibitors, such as benazepril and enalapril. Low blood pressure can be treated
with medicines and by wearing support stockings (also called compression
Treatment if the condition gets worse
diabetic neuropathy gets worse, you may have serious
problems such as severe
bladder infections, or
foot problems. In addition to keeping your blood sugars in your
target range and taking good care of your feet, you may need further treatment
if diabetic neuropathy progresses.