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Using Glucometer at Home

Diabetic Peripheral Neuropathy

Diabetic peripheral neuropathy is a common complication of diabetes that affects the peripheral nerves, particularly in the hands, feet, and legs. It occurs due to prolonged high blood sugar levels, which damage the nerves and impair their ability to transmit signals. This can lead to a wide range of sensory and motor symptoms.
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In diabetic peripheral neuropathy, the earliest symptoms often include tingling, numbness, or a burning sensation, usually starting in the toes and fingers. Over time, these symptoms can progress, leading to sharp or electric-like pain, increased sensitivity to touch, or even complete loss of sensation in the affected areas. The loss of feeling can be particularly dangerous, as it can make it difficult for individuals to notice injuries, sores, or ulcers, which may become infected without proper care.
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In addition to sensory symptoms, muscle weakness may occur, especially in the legs, which can lead to difficulties in walking or maintaining balance. The condition tends to worsen at night, and without effective management of blood sugar levels, it can progressively damage more nerves, leading to serious complications, such as foot deformities or infections.
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Proper diabetes management, including blood sugar control, regular foot care, and sometimes medications, can help alleviate symptoms and prevent further nerve damage.

Common Symptoms

  • Numbness or reduced ability to feel pain and temperature changes, especially in the feet and hands
  • Tingling or burning sensations, often starting in the toes or fingers and spreading upward (paresthesia)
  • Sharp, jabbing, or electric-like pain
  • Increased sensitivity to touch (even light touches can feel painful)
  • Muscle weakness, particularly in the legs
  • Loss of coordination and balance
  • Foot ulcers, infections, or deformities due to lack of sensation
  • Cramps or muscle twitching
  • Difficulty walking or maintaining balance
  • Worsening of symptoms at night
Young Doctor
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