Diabetic Neuropathy Treatment And Management

Treatment of diabetic neuropathy consists of preventing further progress of the disease and controlling its symptoms and complications. There is no complete cure for diabetic neuropathy.

Treatment is mainly of diabetes, which is the causative factor of the neuropathy. However, symptomatic treatment has to be given to reduce the suffering of the patient.

It is important to maintain blood sugar levels within normal limits by religiously taking your diabetic medication as prescribed by your doctor and to follow healthy lifestyle habits. This will help to slow down the progression of the disease.

Secondly medication for relieving pain and managing the complications is given.

Proper foot care should be taken to prevent any cut or wounds. Peripheral neuropathy can cause loss of feeling in the feet and the pain of an injury may go unnoticed. the wound then can go on becoming worse and deeper. The infection can travel to the bones and amputation will become necessary. this complication of diabetic neuropathy is called diabetic foot.

(A) Diabetic neuropathy treatment

Treatment to relieve diabetic neuropathy pain

Topical creams such as capsaicin cream, physical therapy, which includes stretching exercises and massage, and acupuncture are used in conjunction with medical treatment for relieving the pain of diabetic neuropathy.

Antidepressants

Antidepressants are prescribed for pain even though you may not be suffering from depression. Tricyclic antidepressant medications, such as amitriptyline, desipramine (Norpramin) and imipramine (Tofranil), may provide relief for mild to moderate symptoms. They act centrally on the brain and you do not feel the pain. Side effects include dry mouth, sweating, weight gain, constipation and dizziness.

Some people may be prescribed antidepressants called serotonin and norepinephrine reuptake inhibitors (SNRIs), such as duloxetine (Cymbalta), which cause fewer side effects.

Anti-seizure medications

Drugs such as drugs such as gabapentin (Gralise, Neurontin), pregabalin (Lyrica) and carbamazepine (Carbatrol, Tegretol), which are used to control seizures are used here to relieve the nerve pain.

(B) Treatment of diabetic neuropathy complications

Treatment of diabetic nephropathy

Loss of bladder control is treated with medications, regular timed urination methods and insertion of pessaries in the vagina in women to prevent leakage. Medications include antispasmodic drugs( anticholinergics). This combination of therapy can be most effective.

Treatment of digestive complications

To relieve the symptoms of gastroparesis, follow certain dietary habits. Eat less but  more frequent meals containing less of fiber and fat and preferably pureed foods. Medication for constipation or diarrhea is accordingly prescribed.

Erectile dysfunction

Sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis) and vardenafil (Levitra) may be effective treatments for erectile dysfunction for men. Women are advised to use vaginal lubricants.

Postural hypotension

  • Avoid alcohol
  • Drink adequate quantity of water
  • Always sit or stand slowly. Avoid sudden movements.
  • Use an abdominal binder and compression stockings.
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