I had my endo appointment this morning and she told me she thinks I have the beginning stages of diabetic neuropathy. I know very, VERY little about it...quite honestly because I didn't think I'd have a problem with it for many years to come. I have good sugar control, I was dx'd almost 5 years ago, and I'm only 23.

What slows it down? How do I best take care of it? She didn't prescribe any medications b/c I haven't started to feel pain yet, I just have numbness/tingling. But, from what I gathered, there's no treatment, just pain medication when I start to feel pain.

Thank you! ANY information will be helpful!

Tags: diabetic, neuropathy

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The best way to slow down neuropathy (& sometimes reverse it) is to get better control of your BG. Do what you can to lower your A1c. More exercise, lower carb intake & fine tuning your insulin doses are ways to help get there.
I often give workshops to diabetes support groups on this subject. One specific piece of advice that I can offer is to try a product called OmegaForce which has been formulated to benefit the major areas of issue with diabetics (these being increased risk of cardiovascular problems and nerve damage).
Fatty acid supplements can reduce cholesterol and triglyceride levels, both of which are often elevated in diabetes. But with reference to your query, there is increasing evidence that taking EPA, the fatty acid found in fish oils has specific benefits for those who suffer from neuropathy, by helping to repair and stabilise the fatty sheath that covers and insulates the nerve. You might be interested in reading this article to find out more info on how and why certain fats can help.

No fear, am in the same boat. My endo told me the same thing before like 2 years or so. What I did is try to control my BG the best and did more exercise that uses my arms and legs more, it helps [I believe]!

Hope this was beneficial to you

I'm in the same boat as Al with this. I was diagnosed with the beginnings of neuropathy after years of very poor control. I have had no progression in symptoms or severity because I work hard to maintain a good a1c now. I have also started exercising. Talk to your nutritionist about food choices and supplements too, this is a part of care that we sometimes forget about. I get better control with eating less carbs than I did in the past but I do not eat low carb, I just make smarter food choices.
Ummm, what exactly was your doc trying to convey if she didn't provide answers to your questions?! Your A1C looks pretty good, so it seems your blood glucose control is on target.

Don't freak out! People can have the "beginning stages of diabetic neuropathy" and live happily for decades without pain. The advice about controlling blood glucose levels is right on. As is frequent exercise to keep circulation pumping.

Also, make sure that your doc uses monofilaments or other method to test sensation in your feet at every office visit (take off your shoes and socks as a reminder). This will help you track any progression in the condition.

Unfortunately, often when one diabetes complication starts to become visible, there is other microvascular damage going on. Do you have a dilated eye exam once a year? If your nerves are being affected by high blood sugars, it's likely the small vessels in your eyes are also showing some damage (in fact, this is the only place in the body where a doc can SEE damage). Again, you can halt and delay progression of eye damage by controlling blood sugars. And laser surgery is very effective should problems need to be fixed that way. Finally, your urine should be tested annually for microalbumin, an early sign of kidney disease.
wow. This is some great information. Thank you!
I can't give you the scientific evidence to support this, but someone else on this site mentioned that she takes B-12 and it helps her tremendously. I've just started taking it and it does seem to make a difference. I've only got the tingling and numbness at this point.
Thanks everyone! It's just frustrating because my A1c is 6.5, I work out regularly, and I was only diagnosed 5 years ago. But, I'll try to be better about taking my fish oil and vitamin b supplements and eating less carbs...hopefully that will help. :)
You can do it!

An A1c of 6.5 is an average BG of 140--too high. Most doctors say that's ok, but the closer to normal BG the better for all your parts.
wow. That's scary. My doc said 7.0 A1c was ok for me.
I would have to side with you. though a good A1C is an excellent way to judge your care, you can NOT lump it all into the same category and assume everyone can achieve the same numbers.

Again, a good A1C is a good A1C.... I just think if you try and do not succeed to get the A1C to go down, you need not abandon all hope! You need to do your best and be happy, that will save your nerve endings the most in the end. :)
When I was in raging neuropathic pain in my calves, my doctor prescribed me Cymbalta, which is an anti-depressant that apparently is also used to treat neuropathy pain. They also sent me to a place that did "stim"-therapy - have you ever been to a chiropractor who sticks little electrodes on your back and sends energy through them? This place did exactly that but on my calves. I would sit in a recliner and let the electrodes stimulate the muscles in my legs - it was like exercise for the muscles but without the pain I would feel from actually exercising.

I was also diagnosed in my later teen years (i was seventeen) and I'm now 25. We may have a lot in common there. My advice for warding off the crazy leg pain is to keep kickin' butt on your blood sugar numbers and add as many walking steps to your day as you can. Exercising and glucose control are the best preventions.




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