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Diabetes |
If
you are diabetic you may already be
familiar with many of the complications
that come with this condition. Among
the most common complications of diabetes
is neuropathy. Although
the symptoms of diabetic neuropathy
are very similar to those of regular
nerve compression, diabetic neuropathy
arises from the nerve's response to
abnormally high glucose levels. Unfortunately,
even when good blood sugar levels
are maintained, there is a 50% chance
that neuropathy will occur. |
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The
Relationship between Diabetic Neuropathy
and Nerve Compression |
| Diabetic
neuropathy begins with a change in
sensation in the hands and feet. Diabetics
experience the same numbness and tingling
sensation that a person who has regular
nerve compression will experience,
however it is different in that it
is felt in what is known as a "stocking
and glove" distribution.
This means that when the neuropathy
is in the hand the entire hand is
affected, both front and back. The
changes can occur in all of the fingers
and extend up to the elbow. Likewise,
in the feet, both top and bottom of
the foot and the toes are affected,
and the changes can be present up
to the knee. Another way to think
of it is that with a diabetic, multiple
nerves will be compressed
at a number of sites along the path
the nerve follows along the arm or
leg.
Regular nerve compression, in contrast,
usually involves one nerve in the
arm or the leg, resulting in just
a particular region in the arm or
leg having symptoms of numbness. This
difference in the pattern of numbness
is the main reason why doctors have
not previously associated symptoms
of diabetic neuropathy with those
of nerve compression. |
| A
second difference between diabetic neuropathy
and nerve compression is the fact that
the Diabetic nerve is compressed due
to a metabolic process,
making the nerve itself inflammed, and
not just due to many anatomically tight
regions that are present in many people.
So in diabetics, the nerve compression
is superimposed upon the underlying
progressive neuropathy. And when
the neuropathy and nerve compression
exist together, the symptoms of numbness,
tingling and weakness exist due to the
nerves being compressed. |
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