Nerve damage - diabetic
Symptoms often develop slowly over several years. They can vary depending on the nerves that are affected.
People with diabetes may have trouble digesting food. These problems can make your diabetes harder to control. Symptoms of this problem are:
Tingling or burning in the arms and legs may be an early sign of nerve damage. These feelings often start in your toes and feet. You may have deep pain, often in the feet and legs.
Nerve damage may cause you to lose feeling in your arms and legs. Because of this you may:
Damage to nervves in your heart and blood vessels may cause you to:
Other symptoms of nerve damage are:
A physical exam may show:
Tests that may be done include:
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.
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