Neuropathy is a condition that results from damage to the nerves. It can affect many different systems in the body. Nerve damage is very common for people with diabetes. In fact, up to 40% of people with diabetes have symptoms of neuropathy. One of the more common forms of neuropathy affects the arms and legs. The symptoms may include sharp pain, numbness, burning, tingling, or a cold sensation. More often, the condition leads to a loss of feeling in the feet or hands, decreased coordination (It may be difficult to walk without stumbling or to work with the hands), and inability to sense heat or cold.

Scientists do not have a clear understanding of why the nerve damage happens. It is, however, very clear what makes a person at risk for neuropathy. Reducing the risk is the best possible prevention and the first recommended treatment.

The following factors increase the risk of neuropathy; elevated blood sugar, cigarette smoking, excessive alcohol intake, high blood pressure, and high cholesterol. While some drugs can help treat the pain from neuropathy, the best treatment is to focus on reducing these risks.

It is important to recognize that neuropathy often exists without the knowledge of the person with diabetes. The condition leads to dangerous limitations. The purpose of pain is to alert you that something is wrong. When an infection or other damage does not cause pain, it can go unnoticed until it becomes severe.

People with diabetes should:

• Look at their feet thoroughly every day.
  
• Take their shoes off and ask the doctor to look at their feet at each office visit.
  
• Have a foot exam completed by a doctor or other healthcare professional at least twice a year. Foot exams are available at Bremo Pharmacy for $15.
  
• Never walk around barefoot.
  
• Keep feet clean and dry.
  
  

Even if diabetes gets on your nerves, it is important to take notice. Careful attention to signs of nerve damage is essential to preventing problems.

Michelle Herbert Thomas, PharmD, CDE

Clinical Director, Richmond Apothecaries Incorporated