DIABETIC NEUROPATHY

February 7, 2019

DIABETIC NEUROPATHY

  • In diabetics patients a serious and common complication seen is ‘’Diabetic neuropathy’’. Here the nerve get damaged with increasing in age . It can occur any part of the body ,but the peripheral part are mostly affected: Feet and legs affected first followed by hands and arms.

 

CAUSES:-

  • Uncontrolled blood sugar level.
  • High cholesterol level.
  • Increase body weight (over weight).

          HOW TO IDENTIFY:-

  • Burning, electric shock like sensation (especially in evening).
  • Weakness in the peripheral limbs.
  • Extreme sensitivity even to the light touch.
  • Symptoms get worsen at night.
  • Loss of sensation may occur in late condition.
  • Balancing problems.
  • Insensitive to temperature.
  • Loss of sweating / excessive sweating during cool atmosphere.
  • Drooping of eyelids.
  • Incontinence of bladder.

 

 

CONSEQUENCES:-

  • Do not able to recognize any physical injury.
  • Late or poor recovery of wounds and ulcers.
  • May also lead to loss of peripheral parts.
  • Severe infection.
  • Digestion problems occurs such as a vomiting diarrhea /constipation , other serious problems may also occurs.
  • It may also affects eye , sexual function.

PREVENTION:-

  • Control the blood sugar level and cholesterol level by balanced diet.
  • Reduced weight

Do’s:-

  • Check feet, leg and hand daily.
  • Use lotions and there areas to prevent the skin from drying.
  • Take care of nails (toes, hand).
  • Wear shoes that fit well and wear it all the time from preventing it from injury, Special MCR shoes are available in market should be used by the patient
  • House wife especially should wear gloves in hand while doing house hold activities.

 

 

        Don’t:-

  • Don’t walk barefoot or only in socks.
  • Don’t use shoes that have rough areas.
  • Don’t touch too hot or cold things suddenly.
  • Don’t stand in one position for a long time or sit with leg crossed, these activities may be block blood flow to feet.
  • Avoid smoking.
  • Fat riched diet should be avoided.

ROLE OF PHYSIOTHERAPHY:-

  • Some exercises – to increase blood flow to the areas affected.
  • Massage- In the skin and soft tissue which are affected to increase blood supply and draining of waste materials.
  • Strengthening of weaker muscles.
  • Balance training.

 

 

 

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