Take the Diabetes Health Pump Survey
See What's Inside
Read this FREE issue now
For healthcare professionals only
  • 12 Tips for Traveling With Diabetes
See the entire table of contents here!

You can view the current or previous issues of Diabetes Health online, in their entirety, anytime you want.
Click Here To View

See if you qualify for our free healthcare professional magazines. Click here to start your application for Pre-Diabetes Health, Diabetes Health Pharmacist and Diabetes Health Professional.

Learn More About the Professional Subscription

Free Diabetes Health e-Newsletter
Latest
Popular
Top Rated
Diabetes Health Reference Charts
Blood Sugar Archives
Print | Email | Share | Comments (1)

Pain Is Worst Late at Night for People With Diabetic Neuropathy


May 14, 2010

Participants tracked the intensity of their pain at three-hour intervals over a seven-day span.

Most people who have diabetes quickly learn that one of the worst side effects of the disease is pain caused by damage to the hands and feet. High blood sugar inflames nerves, leading to tingling and numbness, and often, severe pain. Researchers at the Comprehensive Pain Center at Oregon Health & Science University in Portland have learned that onset of nerve pain may have a daily rhythm, with the worst occurring late at night around 11 p.m. Their study, which they characterized as "preliminary," tracked 647 people with diabetic neuropathy. The results showed that the typical pattern for people with the condition was to experience the greatest pain from it after sunset, peaking at 8 p.m. and 11 p.m.

Study participants averaged 54 years in age and were divided between 42 percent men and 58 percent women. Ninety-two percent were taking either prescription or over-the-counter pain medications. The participants tracked the intensity of their pain at three-hour intervals over a seven-day span, starting at 8 a.m. and ending at 11 p.m., rating their pain on a 10-point scale, with 10 representing the worst imaginable pain. Their lowest pain level of the day was an average of 4.21 points at 11 a.m. By 8 p.m., that average rose to 4.53 points, and by 11 p.m. to 4.65 points, the highest of the recorded day.  

Although the study suggests levels of neuropathic pain differ throughout the day, the statistical difference between the high and low measures of it are not enough for scientists to offer any strong conclusions. One tentative conclusion is that people who are taking pain medications may want to take an extra dose at night, or if they are on once-a-day medications, delay taking them until then. The study also suggests that diabetes patients may be more effectively treated for symptoms and side effects if their subjective experiences of pain are taken into account. 

Researchers began looking into neuropathic pain patterns after seeing that previous research had shown that other painful conditions have predictable times when they are most intense. For example, osteoarthritis patients experience their worst pain at night while rheumatoid arthritis sufferers are more likely to feel the most intense pain of the day soon after waking up in the morning.

 * * *

Source:

WebMD article


Categories: Blood Sugar, Complications & Care, Diabetes, Diabetes, Health Research, Monitoring, Nerve Care (Neuropathy), Type 1 Issues, Type 2 Issues



You May Also Be Interested In...


Comments

Posted by Anonymous on 17 March 2011

Can you offer any explanations about why does the pain worsen at night?


Add your comments about this article below. You can add comments as a registered user or anonymously. If you choose to post anonymously your comments will be sent to our moderator for approval before they appear on this page. If you choose to post as a registered user your comments will appear instantly.

When voicing your views via the comment feature, please respect the Diabetes Health community by refraining from comments that could be considered offensive to other people. Diabetes Health reserves the right to remove comments when necessary to maintain the cordial voice of the diabetes community.

For your privacy and protection, we ask that you do not include personal details such as address or telephone number in any comments posted.

Don't have your Diabetes Health Username? Register now and add your comments to all our content.

Have Your Say...


Username: Password:
Comment:
©1991-2014 Diabetes Health | Home | Privacy | Press | Advertising | Help | Contact Us | Donate | Sitemap

Diabetes Health Medical Disclaimer

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained on or available through this website is for general information purposes only. Opinions expressed here are the opinions of writers, contributors, and commentators, and are not necessarily those of Diabetes Health. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website.