What are the types of diabetic neuropathy

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  • 3 Post By Hearts Jounrey

What are the types of diabetic neuropathy


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Old 04-19-2016, 21:34   #1
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Default What are the types of diabetic neuropathy

I found this resource excellent, detailed, and thorough. Personally I have experienced several forms of autonomic neuropathy including:

Hypoglycemic unawareness - I developed this after 6 years of being dx with Type 1 diabetes in 1983. This symptom is the most dangerous of all the complications from diabetes.

Heart/Blood vessels - impacting my blood pressure & awareness of heart attack

Urinary Track - slow flow

Sweat glands - difficult for me to sweat. My body temperature runs at 96.0 not 98.6.

Eyes- flashes of light when blood sugar is low


What is autonomic neuropathy?
Autonomic neuropathy affects the nerves that control the heart, regulate blood pressure, & control blood glucose levels. Autonomic neuropathy also affects other internal organs, causing problems with digestion, respiratory function, urination, sexual response, and vision. In addition, the system that restores blood glucose levels to normal after a hypoglycemic episode may be affected, resulting in loss of the warning symptoms of hypoglycemia.

Hypoglycemia Unawareness
Normally, symptoms such as shakiness, sweating, and palpitations occur when blood glucose levels drop below 70 mg/dL. In people with autonomic neuropathy, symptoms may not occur, making hypoglycemia difficult to recognize. Problems other than neuropathy can also cause hypoglycemia unawareness.

Heart and Blood Vessels
The heart and blood vessels are part of the cardiovascular system, which controls blood circulation. Damage to nerves in the cardiovascular system interferes with the body's ability to adjust blood pressure and heart rate. As a result, blood pressure may drop sharply after sitting or standing, causing a person to feel light-headed or even to faint. Damage to the nerves that control heart rate can mean that the heart rate stays high, instead of rising and falling in response to normal body functions and physical activity.

Digestive System
Nerve damage to the digestive system most commonly causes constipation. Damage can also cause the stomach to empty too slowly, a condition called gastroparesis. Severe gastroparesis can lead to persistent nausea and vomiting, bloating, and loss of appetite. Gastroparesis can also make blood glucose levels fluctuate widely, due to abnormal food digestion.

Nerve damage to the esophagus may make swallowing difficult, while nerve damage to the bowels can cause constipation alternating with frequent, uncontrolled diarrhea, especially at night.
Problems with the digestive system can lead to weight loss.

Urinary Tract and Sex Organs
Autonomic neuropathy often affects the organs that control urination and sexual function. Nerve damage can prevent the bladder from emptying completely, allowing bacteria to grow in the bladder and kidneys and causing urinary tract infections. When the nerves of the bladder are damaged, urinary incontinence may result because a person may not be able to sense when the bladder is full or control the muscles that release urine.

Autonomic neuropathy can also gradually decrease sexual response in men and women, although the sex drive may be unchanged. A man may be unable to have erections or may reach sexual climax without ejaculating normally. A woman may have difficulty with arousal, lubrication, or orgasm.

Sweat Glands
Autonomic neuropathy can affect the nerves that control sweating. When nerve damage prevents the sweat glands from working properly, the body cannot regulate its temperature as it should. Nerve damage can also cause profuse sweating at night or while eating.

Eyes
Finally, autonomic neuropathy can affect the pupils of the eyes, making them less responsive to changes in light. As a result, a person may not be able to see well when a light is turned on in a dark room or may have trouble driving at night.


For more on diabetic neuropathy, go to the
National Institute of Diabetes and Digestive and Kidney Diseases/Health Information/Diabetic Neuropathies: Nerve Damage of Diabetes site.

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Old 04-19-2016, 22:23   #2
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Very good information! Thanks for sharing!

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Old 06-15-2016, 04:18   #3
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Very helpful information.........

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