Nerve conduction velocity tests (NCV) -- a recording of the speed at which signals travel along nerves
It is very important to keep your blood sugar in a healthy range. You should learn the basic steps for managing your diabetes, avoiding its complications, and staying as healthy as possible. These steps will include diet, exercise, and sometimes medicines.
You may need to check your blood sugar daily, or more often. Your doctor will help you by taking blood tests and other tests.
Treatment relieves pain and can control some symptoms, but the disease generally continues to get worse.
Bladder and kidney infections
Injury to the feet due to loss of feeling
Poor blood sugar control due to nausea and vomiting
Skin and soft tissue damage and risk of amputation
Neuropathy may also hide angina, the warning chest pain for heart disease and heart attack.
Calling your health care provider
Call your health care provider if you develop symptoms of diabetic neuropathy.
Tight control of blood sugar levels may prevent neuropathy in many people with type 1 diabetes, and may reduce the severity of symptoms.
In addition, regular foot care can prevent a small infection from getting worse. This is why no appointment for diabetes care is complete without a thorough foot examination.
Eisenbarth GS, Polonsky KS, Buse JB. Type 1 diabetes mellitus. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR. Williams Textbook of Endocrinology. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 31.
Wong MC, Chung JW, Wong TK. Effects of treatments for symptoms of painful diabetic neuropathy: systematic review. BMJ. 2007;335:87.
American Diabetes Association. Standards of medical care in diabetes--2011. Diabetes Care. 2011 Jan;34 Suppl 1:S11-61.
Ari S. Eckman, MD, Chief, Division of Endocrinology, Diabetes and Metabolism, Trinitas Regional Medical Center, Elizabeth, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.