A team of neurologists has issued a new set of recommendations for the treatment of diabetic neuropathy, including drugs and other treatments that have been found to be the most effective therapies for the condition.
When people are diagnosed with diabetes, things can seem pretty overwhelming. In a short time, they have to absorb a daunting amount of information and start making significant decisions about the way they live their lives.
Michael Hamman is a 63-year-old contractor. He recalls, "I first was diagnosed with type 2 diabetes five or six years ago. I probably had elevated blood sugar well in advance of that, but I was unaware of it. I don't remember how high my blood sugar was at the time, but I think my A1C was 7.5%. My blood sugar's never really been awful. Since I started monitoring myself, my sugar readings are normally between 150 and 165. I think it was pushing 200 before I was medicated, but the medications brought it down. They started me on glyburide and I took that for a long time, and then the A1C was moving up again, so they added the metformin. The A1C now is down in the mid-sixes. They consider it controlled, not well controlled or as good as it could be, but certainly for someone my size, it's probably as good as you can get."
Of all diabetic complications, neuropathy is one of the scariest and most difficult to treat. Nerve damage in the feet, leading to numbness or pain and, in severe cases, to foot ulcers or amputations, affects up to 60 percent of diabetics, according to recent research.
In people with longstanding type 2 diabetes who are at high risk for heart attack and stroke, lowering blood sugar to near-normal levels did not delay the combined risk of diabetic damage to kidneys, eyes, or nerves, but did delay several other signs of diabetic damage, a study has found. The intensive glucose treatment was compared with standard glucose control.
Even though autumn is just around the corner, many places in the country still have a couple of hot spells left. And those surprise heat waves can be bad news for people with diabetes. It’s no secret that the elderly, the obese, and people with heart disease or respiratory conditions are vulnerable to heat-related illnesses. It’s less well known, however, that people with type 1 and type 2 diabetes are more likely than non-diabetics to suffer heat stroke, heat exhaustion, and heat cramps.
Have you ever come home from work or shopping after a long day on your feet, and all you wanted in life was to sit down and put them up? When you rested your feet on an ottoman, you immediately began to relax. The physiological reason you felt so much better was the slight widening of the peripheral capillary blood vessels in your feet-the natural response of relaxation. As the vessels opened up, more blood flowed to your feet, providing nutrients and oxygen. The foot pain and fatigue started to fade as the tissues were nourished. Ahhhh!
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