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Diabetes over time can lead to damage to the nerves in the body. When the blood sugars are poorly controlled, the risk is greatly increased.
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- Feet/legs -- medications including Elavil and Neurotin
- Must check your feet regularly. Cut your nails properly and have a routine (every 3 months) foot and leg check by your doctor to prevent complications in the future.
- Heart (lack of sensation) -- No treatment, but awareness that symptoms that may indicate a heart attack is going to happen (e.g., sweating, weakness, fatigue, or shortness of breath) because chest pain may not occur
- Autonomic dysfunction -- no medications. You should slowly rise from lying to sitting, or sitting to standing, and allow time in between (1-2 minutes) for the body to equilibrate.
- Gastroparesis -- A medication called Reglan (metoclopramide) helps some individuals.
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- Feet/legs -- nerve damage can result in the loss of sensation, burning, numbness, tingling, or pain
- Heart -- nerve damage can cause the loss of sensation to the heart. Therefore, a person with diabetes may have a heart attack, and not feel any pain.
- Autonomic Dysfunction occurs when improperly functioning autonomic nerves impair the heart's ability to increase its rate when needed (for example when standing or exercising), causing lightheadedness or fainting.
- Gastroparesis occurs when the
nerves to the stomach, intestines, and colon do not create a wave of intestinal contraction, causing food to "stop up," instead of pushing the food along into the next segment of intestine.
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