Nerve Damage

Nerve damage is a problem for many people with diabetes.  Damage to the nerves is also called neuropathy.  High blood sugar damages the delicate coating of nerves.  This damage occurs when the blood sugar stays high for long periods of time.  Many people with diabetes experience pain and loss of feeling in the feet and hands because of nerve damage.  There is a lot you can do to take charge and prevent nerve damage.  Controlling your blood sugar may also help reduce the pain from some type of nerve damage.

Signs of Nerve Damage

·    Some signs of nerve damage are pain, burning, tingling, or loss of feeling in the feet and hands.

 

·     Nerve damage can cause changes in sweating, make it hard for you to tell when your blood sugar is low, and make you feel light-headed when you stand up.

·    Some people with nerve damage develop problems swallowing and keeping food down.  Nerve damage can also cause diarrhea or constipation.

·   Nerve damage can cause problems with urination.  These are problems such as dribbling urine or difficulty emptying the bladder.

 

Many men experience problems getting or maintaining an erection when having sex.  This problem is called impotence or erectile dysfunction.

Tell your health care provider if you have any of these problems, The cause of these problems is not always from diabetes.  Your provider may ask a specialist to perform further assessment.  There are ways to help in many cases.  Ask about the treatment options that would best fit your needs.
 

Protect Your Nerves from Damage

·    Control Your Blood Sugar

Work with your health care team to keep your blood sugar levels as close to normal as you can.

·    Have a Physical Activity Plan

Physical activity or exercise may help keep some nerves healthy, such as those in your feet.  Ask the health care team about an activity that is healthy for you.

·    Get Tests for Nerve Damage

Nerve damage can happen slowly.  You may not be aware you are losing feeling in your feet.  Ask your health care provider to check your feet at each visit.  Your health care provider should test how well you can sense temperature, pinprick, vibration, and position in your feet at least once a year.  Your provider may want to do more tests if you have signs of nerve damage.

·    Check Your Feet for Changes

You will need to take special care of your feet if you have lost feeling.  Check your feet each day.  Wear shoes that fit well.  Check your shoes for rocks, tacks or other objects before you put them on.  Read the section on Foot Problems for more information about foot care.