Diabetic Neuropathy
What are the treatments for the disease?
Good control of blood glucose levels prevents further nerve damage. Low glucose levels can reverse the pain or numbness from nerve
damage.
Treatment for pain caused by diabetic neuropathy includes the following therapies:
acupuncture
biofeedback
hypnosis
massage
physical and occupational therapies for treatment of
motor involvement
regular moderate walking
relaxation training
transcutaneous electronic nerve stimulation, also called TENS, which uses small
bursts of electricity to block pain signals
warm baths
wrapping the legs in elastic stockings
The following medications may be used for treatment of pain caused by diabetic neuropathy:
antidepressant medications, such as amitriptyline and fluphenazine, to relieve pain
capsaicin, a topical cream that helps relieve pain
codeine, a powerful narcotic, for short term relief of severe pain
medications commonly used for
seizures, which may relieve nerve pain. These include carbamazepine and phenytoin
sodium.
over-the-counter analgesic ointment
pain medications for
burning, tingling, or numbness. These include aspirin, acetaminophen, and ibuprofen.
Gastroparesis may be
treated by taking the following steps:
Avoid excess fat
in the diet.
Eat less fiber.
Eat small, frequent meals.
Medications that can be used in the treatment of gastroparesis are as follows:
erythromycin, an antibiotic
medications that reduce excess stomach acid
metoclopramide, a medication that speeds digestion
Diarrhea and other
intestinal problems may be treated with the following:
antibiotics, such as tetracycline
clonidine, a medication normally used to treat high blood pressure
wheat-free diet, since diarrhea can be caused by gluten in wheat flour
Antibiotics are used to treat urinary tract infections. The affected person may be
taught to empty the bladder frequently. He or she may be advised to increase
fluid intake.
Men who have erectile dysfunction
may be treated with medication. Sometimes a penile implant is recommended. Counseling may be helpful to reduce
stress.
What are the side effects of the treatments?
Antibiotics and other medications may cause stomach upset or allergic reactions.
What happens after treatment for the disease?
Good control of blood glucose levels is important. It can help prevent the onset and progression
of neuropathy. Once sensation is impaired to an area, the person will need to
be careful to avoid injury. Good diabetic foot care, for example, is especially important
if the feet are numb.
How is the disease monitored?
The individual and his or her healthcare provider can monitor diabetic
neuropathy. Repeat
electromyography and
nerve conduction velocity studies may be helpful. Any new or
worsening symptoms should be reported to the healthcare provider.
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