Treatment for neuropathy depends on your symptoms and the type of neuro that you have. In general, treatment focuses on reducing current symptoms and preventing the condition from getting worse by keeping your blood sugar level within your target range. You can keep your blood sugar levels within the target range by taking your insulin or oral diabetes medicine as prescribed, checking your blood sugar levels, following your diet for diabetes, exercising, and seeing your doctor regularly.
Also, it is important to properly care for your feet when you have diabetic neuropathy. Diabetic neuropathy may cause a loss of feeling in your feet. It is possible for a sore or other foot problem to go unnoticed. Without proper foot care, an untreated foot sore can lead to a serious infection or possibly amputation.
Some symptoms can be hard to manage, but others respond well to treatment:
- Mild constipation. eating small, frequent meals that are high in fiber and low in fat may help.
- Frequent diarrhea. Eating foods that are high in fiber may help. You may need medicines that slow the rate at which digested food and waste travel through the intestines, or you may need antibioticssuch as amoxicillin, metronidazole, or tetracycline.
- Mild gastroparesis. This is a condition that causes the stomach to empty very slowly. It may get better if you eat small, frequent meals that are low in fiber and fat. Medicines that help the stomach empty more quickly may also be needed. Controlling blood sugar levels may reduce symptoms of gastroparesis.
- Abnormal sweating. If you sweat a lot, try to avoid intense heat and humidity. If you don’t sweat enough, you can use moisturizers to help with dry or cracked skin. Drinking more water can prevent overheating. Try to avoid places that are very hot or very cold.
- Lack of awareness of low blood sugar level. This is also calledhypoglycemia unawareness. You can adjust your insulin and allow your blood sugar levels to be a little bit higher than the target range. Usually it is recommended that you keep your A1c in a target range.
- Urinary problems. Urinary problems can be treated with antibioticsfor urinary tract infections and medicines to improve bladdercontrol.
- Sexual problems. Your doctor may suggest using medicines or devices to improve erections. Or you may need nonprescription lubricants and estrogen creams for vaginal dryness.
- Blood pressure problems.High blood pressure may be treated withangiotensin-converting enzyme (ACE) inhibitors, such as benazepriland enalapril. Low blood pressure can be treated with medicines and by wearing support stockings (also called compression stockings).
Treatment if the condition gets worse continued…
Is a major risk factor for foot infections or foot ulcers leading to amputation. It is possible to have permanent disfigurement in one or both of your feet (such as Charcot foot from diabetic neuropathy. Surgery is sometimes needed to correct deformed joints that can result from Charcot foot.
Severe gastroparesis may require other treatment, such as medicines that empty the stomach more quickly or a feeding tube that is inserted into the stomach.
Severe bladder infections or other bladder problems, such as loss of control, may require further diagnostic testing and treatments such as medicines or surgery to improve bladder function.
Also, it is common to experience symptoms of depression with any chronic disease, such as diabetes or diabetic neuropathy. Seeking help for depression may improve your overall well-being and aid in the treatment of your condition.