Do these statements relate to you?
• Sometimes you have the impression that you are wearing socks or gloves when you do not
• Your feet hurt at night.
• You feel burning or pain in your feet.
• Your feet are numb and you can not feel your feet while walking.
People who experience tingling, "pins and needles" or foot cramps may not think much about these symptoms. However, if they persist, it may mean a condition known as neuropathy, which can lead to major problems.
Neuropathy refers to a condition in which nerves are damaged. This is due to various causes, including diabetes, excessive alcohol consumption, genetic predisposition, infection, cancer, nutritional deficiencies, exposure to toxins, diseases that cause chronic inflammation with nerves and other unclear factors.
Of all, diabetes is the most common cause of nerve damage. This condition is known medically as diabetic neuropathy. It occurs when a nerve or group of nerves is damaged due to a high level of glucose in the blood.
Here are some statistics on diabetic neuropathy:
Up to 50% of diabetic patients suffer from diabetic neuropathy in the course of their disease, according to a 2004 review entitled "diabetic neuropathies" published in Diabetes care.
According to the 2011 study entitled "Metabolic correction in the treatment of peripheral neuropathy for diabetes: improvement of clinical outcomes beyond the control of symptoms" published in Current clinical pharmacology50% of diabetic patients with diabetic neuropathy have no symptoms.
The incidence of diabetic neuropathy increases with age and diabetic years. It begins at the pre-diabetic stage, and 8% of diabetic patients already have diabetic neuropathy after diagnosing diabetes, according to a 1993 study entitled "The occurrence of gradual severity of various types of diabetic neuropathy, retinopathy and nephropathy in a population-based population Cohort: a study of neuropathy diabetic Rochester, published in Neurology.
Fifty percent of people with diabetes over the age of 60 suffer from diabetic neuropathy, according to a 1993 study entitled "A multicenter study of the incidence of peripheral neuropathy in diabetic patients in the United Kingdom" Diabetologia.
Fifty percent of diabetics are not able to determine diabetic neuropathy as a complication of diabetes due to low awareness, according to the 2009 article entitled "Diabetes mellitus: Awareness of disease and lifestyle changes in patients", published in: Journal Of Postgraduate Medical Institute.
Only 28% of diabetics realize that people with type 2 diabetes are more likely to have amputations than non-diabetics, according to a study by ICM Research.
Diabetic Foot Care
Most people treat on foot for granted. For diabetics, however, foot care is a serious matter that can have unfortunate consequences if neglected.
This is because nerve damage can reduce or lose the sensation in the feet, causing the sores and minor injuries to go unnoticed and become severely ulcerated, infected or difficult to treat.
The healing process for diabetics is also at risk of poor circulation. It may be necessary to definitively amputate the foot, the foot or even the lower leg if treatment is no longer possible.
Although you may know that diabetes can lead to amputation, you may not know that the cause of the amputation is nerve damage. Amputation can be avoided with proper nerve care.
Other complications of diabetic neuropathy that should be considered include joint deformity, acute pain and extreme sensitivity in the extremities, urinary tract infections, urinary incontinence, low blood pressure, digestive problems, sexual dysfunction and ocular complications.
Amputation and foot ulceration are common, serious problems among diabetic patients who can be prevented or delayed if they are identified and dealt with early.
The American Diabetes Association recommends that adults with diabetes have annual health tests to detect diabetic neuropathy. Such studies include the recording of disease history, physical foot control, and neurological and diabetic peripheral neuropathy tests.
There are five simple clinical tests to diagnose peripheral neuropathy of the legs and arms, including the sensation of finger compressions and reflexes, vibration tests with a tuning fork and biosynthesis.
Close monitoring of blood sugar levels, proper diet control, proper foot care, regular exercise and smoking cessation are necessary to prevent or delay neuropathy and related complications.
Vitamins B1, B6 and B12
B vitamins, in particular thiamine (vitamin B1), pyridoxine (vitamin B6) and cobalamin (vitamin B12), are used by the body in the processes of nerve nutrition and regeneration.
Vitamin B1 is involved in energy metabolism, helps in maintaining myelin sheaths covering nerve axons and is used in the synthesis of key signaling molecules in the nervous system, known as neurotransmitters.
Vitamin B6 is involved in the synthesis of neurotransmitters, while vitamin B12 is involved in the maturation and regeneration of nerve cells, the metabolism of nerve cells and the formation of myelin sheaths.
In populations at risk of neuropathy, especially diabetics, the early detection and treatment of neuropathy is crucial to avoiding irreversible nerve damage.