Diabetes is a great damage to the nervous system, nerve tissue throughout the body may be affected and damaged by diabetes. Therefore, diabetic neuropathy is one of the highest incidence of chronic diabetic complications.
Diabetic peripheral neuropathy (DPN) is one of the most common chronic complications of diabetes, with the morbidity rate reached more than 60%. Diabetic sensorimotor peripheral neuropathy (DSPN) is the most common type of DPN, accounting for about 95% of the total numbers, which is not only the important cause of diabetic foot ulcer and amputation, but also leads to the rise of disability and mortality rates.
Roughly speaking, DSPN is a kind of sensory disturbance, diabetes patients will feel pain and abnormal sensation spreading from the distal end of the limb to the proximal end. There are a variety of manifestations of pain, including dull pain, burning pain, stabbing pain and knife cut pain, etc., and the manifestation of abnormal sensation is numbness, chilly, feeling of ants walking and worms crawling in the skin, fever, burning and electrical sensation. Sensory disturbance and abnormal sensation will be intensified in the evening. Such nerve pain is extremely uncomfortable, the sense of reality will gradually disappear at the same time. Furthermore, sense of pain and touch will gradually disappear, for example, diabetes patients will be unaware and senseless to scratched injury and incised injury of the hand, which is dangerous. Some diabetes patients may also feel that walking is like stepping on cotton, which is easy to fall to cause bone fracture.
When DAN (Diabetic autonomic neuropathy) occurs in patients with diabetes, it is often accompanied by somatic neuropathy, in other words, symptoms such as gastrointestinal discomfort, nausea, early satiety, and constipation alternative with diarrhea will be shown clearly in the body. It may be induced by the disorders in the gastrointestinal system, but it can also be caused by DAN. Therefore, diabetes patients can never let down guard of minor illness such as gastrointestinal discomfort, since these symptoms are likely to be a problem in the warning nerve.
Abnormal sweating, painless myocardial infarction and hyper-arrhythmia are somatic neuropathy induced by DAN. Due to the dysfunction in the nervous function of sweating control, some diabetes patients will be sweaty in any movement, eating, talking or sleeping all cause the patient sweaty. However, there are some diabetes patients who sweat locally, for example, some diabetes patients get used to excrete sweat on the face and the body, but not in arms and legs; furthermore, there are other diabetes patients who have the symptom of hemilateral sweating; and some diabetes patients do not break sweat but cannot stand the hot, and even cause the body temperature to rise. Although heavy sweat session is not a serious illness, it is really uncomfortable.
Genitourinary system diseases
Genitourinary system diseases and diabetic cystopathy occur frequently, symptoms include unfluent urination, reduction in urine flow, increase in residual urine, not finishing urination and susceptible to urinary tract infection. In the male reproductive system, they are manifested as hypaphrodisia and impotentia.
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