Symptoms Of Diabetic Nerve Pain In Toes

Symptoms Of Diabetic Nerve Pain In Toes-one of the symptoms of neuropathy in diabetes

Symptoms Of Diabetic Nerve Pain In the Toes is described in detail in the article given below .Besides affecting the hands and feet Diabetes can also cause problems with the digestive system, urinary tract, blood vessels & cardiovascular system.

When the patient’s blood sugar level/blood sugar level remains high for a long time, the blood vessels in the body that feed the nerves themselves will be damaged. When these blood vessels themselves are damaged, the nerves in the patient’s body will automatically get damaged. The end result of the damage to these nerves can be felt by the patient in his/her legs/feet and in his/her hands which is described in detail in this article-Symptoms of diabetic nerve pain in toes. In some cases, the nerves that are damaged due to damage to the blood vessels supplying them. As a result, the functioning of the vital organs of the patient’s body will get disrupted due to the damage as the various organs are supplied by these nerves. Nerve damage caused by diabetes is called diabetic neuropathy. Some reports mention that neuropathy is present in up to 50% of people with diabetes. Diabetic  neuropathy symptoms take a long time to develop and  that also  in neglected cases  when  early  diagnosis and treatment is not started.

If any patient of ENT requires any problem, opd consultation or online consultation in clinic of  ENT specialist Doctor Dr Sagar Rajkuwar ,he may contact him at the following address-

Prabha ENT clinic, plot no 345,Saigram colony, opposite Indoline furniture Ambad link road, Ambad ,1 km from Pathardi phata Nashik ,422010, Maharashtra, India-Dr Sagar Rajkuwar (MS-ENT), Cell no- 7387590194 , 9892596635

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Symptoms of diabetic nerve pain in toes

Loss of a toe, foot or leg. Nerve damage can cause a loss of feeling in the feet due to  nerve damage,  so even minor cuts can turn into sores or ulcers without being known by the individual.  In severe cases, an infection can spread to the bone or lead to tissue death. If gangrene  occurs  removal (amputation) of a toe, foot or even part of the leg may be necessary.

Diabetic neuropathy most often damages nerves in the legs and feet. Depending on the affected nerves, diabetic neuropathy symptoms include pain and numbness in the legs, feet and hands. It can also cause problems with the digestive system, urinary tract, blood vessels and cardiac problems .

According to Statistics of  diabetes in the  world in  2021, – approximately 537 million adults (20-79 years) are living with diabetes. The total number of people living with diabetes is projected to rise to 643 million by 2030 and 783 million by 2045. 3 in 4 adults with diabetes live in low- and middle-income countries.

Patients with high blood sugar can experience a variety of health conditions, including diabetic nerve pain, often seen in the feet and legs first-which is an important aspect of symptoms of diabetic nerve pain in toes.

If an individual with diabetes has experienced a tingling, burning sensation in his hands or feet, he may be suffering from diabetic nerve pain. First random blood sugar and then  SOS  fasting and post prandial blood sugar is done, followed by consultation  with  physician (MD General Medicine) doctor. Consultation is required if  more  than normal range  blood sugar is  obtained.

Diabetic nerve pain or “damaged nerves” are a result of an injury or disease. The restriction of blood flow to the damaged nerves leads to the chronic, debilitating pain. Nerve pain can make doing the simplest things very painful. All  this  develops  after a prolonged  period as  mentioned earlier  in  this  article. If any of these symptoms as in the above parygraph are seen then suspicion of symptoms of diabetic nerve pain in toes should be borne in mind.

There are various types of diabetes mellitus types  out of which the  main types are  discussed below –

1-Type 1 diabetes.-It  is  also  called  juvenile diabetes.

Treatment  can  help  in  this  case  but  it  cannot be cured. It  is a  chronic  condition  in which the pancreas  produce  little  or no  insulin. It  is a  kind of  autoimmune  disorder  in  which  autoantibodies  develop  which  destroy the  beta  cells  of islets of Langerhans that  produce  insulin. This  occurs  at  a  very  early  age  and  insulin  has  to be  administered  to  such  patients.

2-Type 2 diabetes.-

In  this  there  is  impairment  in  the  way  which  our  body regulates  and  uses  glucose as  a  fuel.

Now, if there is too much sugar in the blood, this can lead to complications, such as diabetes. Often times affecting the kidneys, heart, nerves and eyes. Diabetes affects as many as 29 million people in the U.S. More than 8 million people are either unaware or have yet to be diagnosed with the condition.

Patients with high blood sugar can experience a variety of health conditions, including diabetic nerve pain, often seen in the feet and legs first. Symptoms of diabetic nerve pain in toes do not develop immediately, but they develop in prolonged untreated cases of diabetes

 

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Here are the  common symptoms of diabetic nerve pain in toes-

• Numbness
• Sharp and burning pain
• Pins and needles pain
• Deformities on the foot (i.e. hammertoe)
• Sores or blisters
• Sensitivity to touch
• Tingling or stabbing pain

Diabetic nerve pain will varies from  individual to  individual depending  on the severity of nerve damage. For those suffering with sensitivity to touch, trying to get a good night’s rest may be difficult.

There is difficulty in standing or walking and also difficulty in picking up a spoon or fork  while eating meal .The  individual may drop items frequently.  This is attributed  to diabetic nerve pain.

Frequent  observation  should be done for feet and hands. It is  even difficult  to  know for the  individual whether he is  holding a particular object is hot or cold. Such  individual can even burn himself .

Intraneural Facilitation or INF™ is available for patients suffering with chronic nerve pain as a result of diabetes, chemotherapy or sports injuries. This new  therapy brings blood flow back to the nerves by opening the arteries in your hands and feet. Intraneural Facilitation provides a new ray of hope for Symptoms of diabetic nerve pain in toes.

For  details regarding symptoms of diabetes pl click on the link given below

https://healthuseful.com/symptoms-of-diabetes/

For  details  regarding  eitiology, investigations, treatment of diabetes, insulin, diabetic diet  pl click on the link given below

https://healthuseful.com/6258-2/

For  details on effects of diabetes on the  nervous system pl  click on the link given below

https://healthuseful.com/does-diabetes-have-effects-on-nervous-system/

For  effects of diabetes on the  gastrointestinal system pl click on the link given below

https://healthuseful.com/effects-of-diabetes-on-gastrointestinal-system/

FAQs-

Summary

Diabetic neuropathy is a form of nerve harm that can occur as a result of diabetes. Diabetes causes an increase in blood sugar, or glucose. Over time, elevated blood sugar can damage nerves all over the body. The nerves in the feet and legs are most frequently affected by diabetic neuropathy.

Diabetic neuropathy can cause pain and numbness in the legs, feet, and hands, as well as other symptoms, depending on which nerves are affected. It may also result in issues with the heart, blood vessels, urinary tract, and digestive system. Some individuals experience only mild symptoms. However, for some people, diabetic neuropathy is both painful and debilitating.

Diabetic neuropathy is a major health issue. It can impact as many as one in two diabetics. However, diabetic neuropathy is frequently preventable. Additionally, those who have it may take action to prevent it from deteriorating. The key is to maintain a healthy lifestyle and closely regulate blood sugar levels.

Diagnosis

Your healthcare provider performs a physical examination to determine whether you have diabetic neuropathy. You are also questioned about your medical history and symptoms.

Your healthcare provider typically checks the following most frequently during the exam:

• Your total muscle tone and strength.
• The reflexes of your tendons and muscles.
• How responsive you are to touch, pain, temperature, and vibration.

In addition to a physical examination, your healthcare provider may perform or prescribe specific tests. The tests can assist determine if you have diabetic neuropathy. They might consist of:

• Testing the filament. An area of your skin is brushed with a soft nylon fiber known as a monofilament. This is done in order to assess your sensitivity to touch.
• Sensory evaluation. This test assesses your nerves’ response to temperature fluctuations and vibrations.
• Nerve conduction tests. This test assesses the speed at which electrical signals travel through the nerves in your arms and legs.
• Electromyography. This test, sometimes known as needle testing, is frequently performed in conjunction with nerve conduction studies. It records your muscles’ electrical activity.
• Autonomic testing. Specific tests may be conducted to see how your heart rate and blood pressure vary with different postures. The tests may also determine if your sweating is typical.

Treatment

There is currently no treatment for diabetic neuropathy. The objectives of treatment are to:

• Prevent the illness from worsening.
• alleviate discomfort.
• Handle medical problems associated with diabetic neuropathy.
• Improve the function of the body areas impacted by neuropathy.
• halting the progression of the illness

Keeping your blood sugar within your target range is the most important thing you can do to avoid or slow nerve injury. Improving your blood sugar levels may even help with some of your existing symptoms. Based on a number of considerations, your healthcare provider determines the ideal target range for you. These factors comprise your overall health, age, and the duration of your diabetes.

Blood sugar level target ranges must be customized for each individual. However, for the majority of diabetics, the American Diabetes Association (ADA) generally advises the following target blood sugar levels:

• Before meals, between 80 and 130 mg/dL (4.4 and 7.2 mmol/L).
• Less than 180 mg/dL (10.0 mmol/L) two hours post-meal.
• For the majority of diabetics, the ADA generally advises an A1C level of 7.0% or below.

For younger individuals with diabetes, some healthcare practitioners advise somewhat reduced blood sugar levels. For older adults who have other medical conditions and may be at a greater risk of low blood sugar problems, they may also suggest somewhat greater levels. Typically, your healthcare provider will suggest these target blood sugar levels prior to meals:

For individuals aged 59 and younger without any other medical issues, the range is 80 to 120 mg/dL (4.4 to 6.7 mmol/L).
For seniors aged 60 and older, or those with other medical issues such as kidney, lung, or heart disease, the range is 100 to 140 mg/dL (5.6 to 7.8 mmol/L).
Other strategies to help slow or stop neuropathy from worsening include:

• Maintain control of your blood pressure.
• Maintain a healthy weight.
• Engage in physical activity on a regular basis.
• pain relief

There are many prescription drugs for nerve pain caused by diabetes. However, they are not effective for everyone. If your healthcare provider prescribes medication, be sure to inquire about the advantages and possible adverse effects.

Prescription therapies for pain relief include:

• medications that prevent seizures. Some medications that treat seizure disorders also help relieve nerve pain. Pregabalin (Lyrica) is recommended as the first line of therapy by the American Diabetes Association. Gabapentin (Gralise, Neurontin) is another choice. Side effects may include hand and foot swelling as well as drowsiness or dizziness.
• Antidepressants. Tricyclic antidepressants can be used to treat mild to moderate nerve pain. Amitriptyline, nortriptyline (Pamelor), and desipramine (Norprimin) are examples of drugs in this
• category. Even if you are not depressed, some of these medications can help relieve nerve pain. Dry mouth, constipation, drowsiness, and trouble concentrating are possible adverse effects. These medications can also induce dizziness when changing positions, such as from lying down to standing. This is a sign of orthostatic hypotension, which occurs when there is a rapid decrease in blood pressure.

Another kind of antidepressant may have fewer adverse effects and be more effective for nerve pain. Duloxetine (Cymbalta), an SNRI, is advised as the first treatment by the American Diabetes Association. It is known as a serotonin and norepinephrine reuptake inhibitor (SNRI). Venlafaxine (Effexor XR) is another option that can be utilized. Nausea, drowsiness, dizziness, decreased appetite, and constipation are among possible side effects.

An antidepressant may occasionally be used in conjunction with an anti-seizure medication. These medications can also be used with some over-the-counter pain relievers, like acetaminophen (Tylenol, others). Alternatively, you might find relief from a skin patch, cream, or gel that contains a pain reliever, such lidocaine.

Handling issues and repairing functionality
You may require specialist treatment to handle health issues related to diabetic neuropathy. For example, urinary tract issues can be handled by a urologist, a specialist. A cardiologist, who is a heart specialist, can assist in preventing or treating heart problems.

The type of treatment you require will depend on the underlying medical issues related to your neuropathy.

Issues with the urinary tract. Some medications have an impact on the bladder. Your healthcare provider may recommend that you discontinue or alter these medications. A strict urination schedule can help with certain bladder issues. Alternatively, gentle pressure on the area beneath the belly button can be combined with urinating every few hours. Additionally, urine may need to be removed from a bladder with nerve damage using alternative techniques. For instance, a catheter, which is a thin, flexible tube, can be inserted into the bladder to drain it.
Digestive issues. Diabetic neuropathy may cause constipation by slowing down the gut or slowing down the movement of food from the stomach. Gastroparesis is the term used to describe the sluggish movement of food. Symptoms of gastroparesis include vomiting, an upset stomach, and belching. Eating smaller, more frequent meals that are low in fat and fiber may help alleviate these symptoms. Dietary adjustments and medications may help alleviate gastroparesis, diarrhea, constipation, and stomach disturbances.
low blood pressure upon standing. This condition is referred to as orthostatic hypotension. Treatment begins with straightforward lifestyle modifications. Stay well-hydrated. Engage in physical activity. Avoid alcohol. Gradually alter your posture, such from sitting to standing. To help avoid high blood pressure during the night, sleep with the head of the bed elevated four to six inches.

Your healthcare practitioner may also recommend compression support for your abdominal and thigh areas. Compression shorts or stockings, as well as an abdominal binder, are examples of items that exert mild pressure. Orthostatic hypotension can be treated with a variety of medications taken alone or in combination.

• Sexual difficulties. In some men, medications taken orally or via injections can enhance sexual performance. However, they are not suitable or successful for everyone. A pump known as a vacuum construction device can increase blood flow to the penis. Vaginal lubricants might be helpful for women.