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Diabetic Neuropathy Treatment

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Diabetic Neuropathy Treatment

Diabetic neuropathy refers to damage to the nerves due to high blood sugar for an extended period of time. It is one of the most frequently occurring diabetic complications, and often begins with a minor tingling sensation in the toes that many people dismiss as a minor annoyance until it gradually creeps up and begins to impact the individual's life.

It usually strikes the feet and legs first, sometimes the hands as well, and occasionally it extends beyond that and impacts on digestion, bladder or blood vessel activity. In this tricky situation, nerve damage cannot be reversed without treatment. This is why early diagnosis and regular management is so important.

If you are considering diabetic neuropathy treatment in Pune, it's not about simply relieving the pain. It's to help slow the damage, avoid complications to the feet and help support the nerves that are still functioning.

Symptoms of Diabetic Neuropathy

Diabetic neuropathy progresses slowly and typically affects the feet and works its way up the body. Watch for:

  • Loss of sensation or numbness in the feet and toes, and in some cases in the hands as well.
  • Tingling or a burning sensation, especially at night.
  • Sharp, stabbing pain which might come and go suddenly.
  • Tenderness: Anything that touches the skin can feel uncomfortable.
  • Limpness of the legs or absence of reflexes in the legs.
  • Slow healing of wounds or ulcers on the feet not noticed because of numbness.
  • If the nerves involved in digestion are affected, there may be problems with digestion, such as bloating.
  • Dizziness when standing up, if nerves which regulate blood pressure are affected.

The numbness is also a more serious condition than the pain as it means that a small cut, blister or pressure sore that develops on the feet can go unnoticed until they become serious.

Common Causes and Risk Factors

When blood sugar is abnormally high for a prolonged period of time, this can harm the nerves over time and decrease the supply of oxygen and nutrients to these nerves through the small blood vessels. In Ayurveda, this is called Vata-Kapha imbalance with the effect on Majja Dhatu (nerve tissue) and further worsened by a prolonged metabolic imbalance. Risk factors are:

  • The number one cause of nerve damage is poorly controlled blood sugar.
  • The longer blood sugar is out of control, the greater the risk, duration of diabetes, risk rises with longer duration of diabetes
  • Hypertension and hyperlipidaemia, both of which cause additional damage to nerves' blood supply
  • There is the strain of being overweight that has an adverse effect on metabolic and nerve health.
  • Both smoking and drinking alcohol that can cause lack of blood flow to nerves,
  • Long-term diabetics are prone to vitamin B12 deficiency, particularly those taking certain medications.
  • Kidney issues that frequently follow when nerve damage is present.

Prevention of Diabetic Neuropathy

There is a lot that can be done to help prevent diabetic neuropathy, and even if it's already developed, its effects can be slowed down dramatically:

  1. Maintain blood sugar within target range, which is the most important step to prevent or delay nerve damage
  2. Inspect feet daily for cuts, blisters, redness or swelling, even if you don't feel it due to numbness
  3. Have regular nerve and foot checks, particularly if you have diabetes over 5 years.
  4. Control blood pressure and cholesterol – both have an impact on blood flow to nerves.
  5. Maintain an active lifestyle regular movement, gentle exercise to promote circulation to legs and feet.
  6. Don't smoke and try to drink alcohol in small amounts only.Don't smoke and try to drink alcohol in small amounts only.
  7. If vitamin B12 is deficient, correct the deficiency; it can make symptoms of neuropathy look worse or look like it.

Instead of taking painkillers to get through the day, effective diabetic neuropathy treatment in Pune involves controlling blood sugar levels and using therapies that target the nerves.

About Dr. Rajeev Keloth Nambiar

Most patients will come to see me for diabetic neuropathy treatment in Pune by the time the tingling has become constant or burning and interferes with sleep. Dr. Rajeev Keloth Nambiar, MD, BAMS at Dr. Nambiar's Advanced Ayurveda, considers this to be a Vata-Kapha imbalance at Majja Dhatu (nerve tissue), exacerbated by years of unchecked blood sugar levels and impaired circulation.

Treatment emphasizes nourishment and repair of nerve tissue, using specific Ayurvedic formulas, as well as therapies for better circulation to the feet and legs, where damage tends to be most advanced. This is complemented by diet and metabolic correction, which need to be followed as well as the nerve treatment since no treatment is effective for nerves if the blood sugar is not brought under control. Practical instructions are also given to many patients with foot care, as preventing foot ulcers is important as much as treating the nerve pain.

Dr. Nambiar has helped numerous diabetic patients reclaim sensation and lessen their reliance on pain medication by providing long-term treatment that tackles the underlying causes of their condition, overcoming some who have given up expectation of ever feeling it again and experiencing burning sensation at night.

Frequently Asked Questions (FAQ's):

Is it possible to cure diabetic neuropathy?

While nerve damage will not go away after it has progressed, early neuropathy can make a huge improvement and even more advanced stages of neuropathy can be slowed and made much more manageable with the right treatment.

What is the first sign of diabetic neuropathy? +

Usually a tingling or slightly numb feeling in the toes or feet, easy to dismiss at first, which is exactly why it often goes unnoticed for months.

Is there a role for Ayurveda in the treatment of diabetic neuropathy? +

Yes. In addition to strict blood sugar control, Ayurvedic therapy involves nourishing nerve tissue, enhancing blood flow, and restoring the metabolism to normal balance.

Why is it imperative to take care of your feet when you have diabetic neuropathy? +

Numbness can lead to small cuts or blisters not being noticed and developing into serious wounds. One of the easiest means to avoid issues is to do a daily foot exam.

Does the nerve damage stop if blood sugar is controlled? +

It is the most critical factor, but not necessarily sufficient, particularly after damage has occurred. Treatment for nerves along with blood sugar control provides better results.

Tingling in the feet is always diabetic neuropathy? +

Not always, but if you do have diabetes and are experiencing a persistent tingling or numbness, it's worth a visit to your doctor as it may not improve.

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