Type 2 Diabetes Nerve Damage is non-curable and often non-reversible based on how far it has advanced. Therapy lays emphasis on lessening existing symptoms and thwarting further exacerbation of the condition. Treatment basically follows a multi-pronged approach which entails slackening advancement of the condition, pain relief and management of associated complications along with reinstating function.
How to Treat Type 2 Diabetes Nerve Damage
Different sufferers have cited differing successes with different approaches which include:
Slackening Disease Advancement
Consistent and Stringent Blood Glucose Control
Constantly maintaining blood glucose levels within a fixed targeted range could assist in delaying the advancement of nerve damage and also be causal to betterment in currently experienced symptoms. Patients should consistently strive to maintain pre-meal blood glucose levels between seventy to 130 milligrams per deciliter. Ideal post-meal(or duo hours after meal) blood glucose levels should lie under 180 milligrams per deciliter while Glycated hemoglobin which is a sign of the patient’s blood glucose control in the recent couple of months should stay below seven percent.
Optimal blood sugar control is achievable by following the physician’s advice about specific diet & exercise, medicine intake, appropriate foot care and checking blood glucose levels. Maintaining healthy weight and keeping blood pressure in the normal range are also strongly recommended.
Diet for Patients with Type 2 Diabetes Nerve Damage
The Mayo Clinic Type 2 Diabetic Diet plan is highly recommended by physicians for such patients. Diabetics are advised to consume larger amounts of complex carbs like veggies, legumes, fruits, milk items with lesser fatty content and whole grains. Fiber-rich veggies and fruits additionally help to improve heart health. Moreover, the diet plan suggests intake of good fats like PUFA(polyunsaturated fatty acids) and MUFA (mono-unsaturated fatty acids) that are abundant in walnut, avocado, pecan, salmons and oil extracted from olives as well as peanuts.
Daily salt consumption shouldn’t cross 2000 milligrams since it has been linked to hypertension. As simple carbs are identified to have a major effect on blood glucose levels, hence a tailored diet plan can be developed in consultation with a nutritionist to establish a carb level that best suits the patient.
Food items which are rich in saturated fats (milk products, butter, meats), trans-fatty acids as well as cholesterol should be avoided. Opt for food items which are low in glycemic index (GI under 55) as they help in the slow and steady release of glucose which provides a sense of satiety for longer.
Diabetes Control Medicines
Targeted blood glucose levels can be achieved and maintained by the use of insulin or orally approved diabetes medicines. For improved diabetes management the physician might advice switching to another drug or taking the recommended diabetes medication more frequently.
Halt or curb Bad Habits
Smoke cessation is important as it aids in impeding further nerve damage in such patients. Steer clear from alcoholic drinks or if intake is permitted then not crossing a drink a day for females and over duo drinks for males.
Those suffering from foot-related problems might be referred to a podiatrist. Treatment is based on the type and severity of foot problem. For instance, the physician may do a thorough cleaning of the sores and get rid of lifeless skin in its close proximity. Prescription of antibiotics might ensue or surgical intervention in severe cases for removal of toe or section of foot.
Topically applied analgesic creams that contain capsaicin aid in easing pains among diabetics with nerve damage. Common non-prescription medicines include Arthicare, Icy Hot, Capzasin-P, Zostrix and Capzasin-HP.
Prescription-only lidocaine patches or Lidoderm have proven to be beneficial among individuals suffering from pains in particular regions of the body (like foot) or those who are intolerant to orally used medicines. Direct application of the patches 4-6 times daily for several weeks onto the particular part of the body provides effectual pain reprieve.
Several individuals suffering from pain due to type 2 diabetes nerve damage have cited notable respite by taking certain forms of antidepressant drugs like citalopram (Celexa), bupropion (Wellbutrin), duloxetine hydrochloride (Cymbalta), paroxetine (Paxil) and venlafaxine. These antidepressants belong to a group of drugs known as SSRIs (Selective Serotonin reuptake inhibitors) and SSNRIs (Serotonin-norepinephrine reuptake inhibitors).
TCAs or tricyclic antidepressant drugs like imipramine (Tofranil), nortriptyline (Pamelor), amitriptyline and desipramine (Norpramin) might help in allaying mild to moderate ranging symptoms. They interfere with the brain’s chemical processes which cause one to sense pains. They are given in much lesser dose as compared to those used for the treatment of depression.
Anticonvulsant Drugs (AEDs)
Drugs which are used for controlling seizure attacks like gabapentin, carbamazepine and pregabalin might be recommended for lowering nerve pains despite the person not having seizures.
Other Treatment Approaches
Complementary therapy approaches like Acupuncture along with physiotherapy sessions might be suggested. Patients may be offered TENS (Transcutaneous Electrical Nerve Stimulation), a form of treatment that involves the localized application of electrodes which provides periodic stimulation for assuaging pains in specific areas of the body.
Management of Related Complications & Function Restoration
Specifically created therapies abound for several complications related toType 2 Diabetes nerve damage. They comprise of:
Excretory System Conditions
Spasmolytic drugs or anticholinergic medicines which oppose or block action of acetylcholine, behavioural methods like timed voiding along with the usage of internally placed devices like a pessary and urethral insert might be helpful in reducing urinary leakage or assist in better controlling one’s urge for urination. These treatments can be combined together to yield the most effectual results.
Diabetics suffering from delayed gastric emptying generally benefit by consuming small-sized meals that are spaced in shorter time intervals, reduction in fatty foods and fiber from dietetic intake and intake of watered down or grinded food items. Dietetic amendments & medications might help in treating feelings of nausea, dyschezia and diarrhoea. Prokinetics might also be necessary in conjunct with rigid control over blood glucose levels for lowering symptom intensity.
Virility drugs could help in improving sexual function among a number of males however, they are not effectual or safe for one and all. In case medicines fail then vacuum therapy pumps, penile prosthesis, internal penile pumps are among several options for males. Females might benefit from the use of vaginally applied lubricant products & estrogen-based creams for treating dryness.
Such a condition can oftentimes be resolved by making basic amendments in the way of living like abstaining from alcoholic drinks, consuming plentiful water and adopting a slow approach while one stands up. Medicines can be prescribed as standalone therapy or in conjunct with compression garments.