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Diabetic Neuropathy: Preventing Nerve Damage with Better Glucose Control

Sandeep Dhanyamraju
Medically reviewed by Chaitanya Bonda
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Sandeep Dhanyamraju
Medically reviewed by Chaitanya Bonda

Diabetes is a serious condition that can lead to permanent damage and many complications. Over time, nerve damage affects up to 50% of people with diabetes. This condition, called diabetic neuropathy, happens when blood sugar stays high for too long. It mainly affects the feet and hands. Symptoms include numbness, tingling, burning pain, foot ulcers, infections, and in severe cases, amputations. The condition often starts without obvious signs, so regular checkups are important.

Maintaining blood sugar levels within a healthy range is the most effective way to prevent nerve damage. When you manage your glucose levels through a combination of diet, exercise, medication, and regular testing, you can significantly lower your risk. Stable blood sugar levels reduce stress and inflammation in your nerves, keeping them healthy. Catching problems early doesn’t just prevent neuropathy — it improves your overall quality of life and reduces other diabetes complications. Regular doctor visits and good blood sugar control are steps every person with diabetes should take.

How Diabetes Damages Nerves and Early Signs of Neuropathy

High blood sugar over time is what causes diabetic neuropathy. Too much glucose in your blood damages nerve fibers and the small blood vessels that feed them. This cuts off oxygen and nutrients to your nerves. Eventually, nerves break down and can’t send signals properly, affecting your ability to feel and move. Both the nerves in your limbs and the nerves that control internal organs can be damaged. This causes symptoms in your feet, hands, and inside your body. Catching neuropathy early is key to stopping it from getting worse and avoiding serious problems like ulcers, infections, and trouble walking. Symptoms usually start small, so it’s essential to pay attention.

Here are the early signs:

  • Tingling: A prickling or pins-and-needles feeling, usually in the feet or hands.
  • Numbness: Loss of feeling for temperature, pressure, or pain, especially in your hands and feet.
  • Burning or sharp pain: Pain that often gets worse at night or when resting.
  • Changes in sensitivity: You might feel touch or vibration more or less than before.
  • Muscle weakness: Loss of strength or coordination in affected areas.
  • Balance problems: Difficulty walking or standing steady due to nerve damage.
  • Autonomic symptoms: Dizziness, digestive issues, or irregular heartbeat.

When you notice these warning signs early, you can take action right away. This includes controlling blood sugar levels, making lifestyle changes, and seeking medical help. Checking yourself regularly and telling your doctor about any changes is crucial. Understanding how diabetes hurts your nerves helps you stay ahead of the problem. When you combine careful monitoring with good diabetes management, you can greatly reduce your risk of serious nerve damage and long-term complications. This means a better quality of life and the ability to stay independent.

Common Symptoms and Early Warning Signs of Diabetic Neuropathy
Glucose-Control

Spotting neuropathy signs early helps prevent the condition from getting worse. Diabetic neuropathy usually develops slowly, and the first signs can be easy to miss. Knowing what to look for helps you get medical care quickly and start protecting your nerves.

Common neuropathy diabetes symptoms include:

  • Loss of reflexes: Weaker reflexes in your legs and feet because nerves aren’t communicating well.
  • Can’t sense temperature: Difficulty feeling hot or cold, which raises your risk of burns or frostbite.
  • Foot deformities: Long-term nerve damage can alter the shape of your feet, resulting in hammertoes or flat arches.
  • Skin problems: Dry, cracked skin or sores that heal slowly because of reduced sweating and poor blood flow.

Identifying these neuropathy diabetes symptoms early allows you to begin treatment promptly. Checking your feet regularly and monitoring any changes in sensation are essential parts of foot care. Let your doctor know about any symptoms so you can prevent more nerve damage. When you combine awareness of these signs with blood sugar control, healthy habits, and medical guidance, you can stay mobile, avoid complications, and improve your quality of life. Taking care of yourself now keeps diabetic neuropathy from sneaking up on you and protects your nerves and overall health.

Treatment Options for Nerve Pain

Effective treatment focuses on alleviating pain, enhancing your overall function, and preventing further nerve damage. Nerve pain from diabetes can range from mild tingling to intense burning. Treatment typically involves a combination of medications, lifestyle modifications, and other therapeutic approaches.

Here are the main ways of nerve pain treatment:

  • Medications: Your doctor may prescribe medications such as anticonvulsants, antidepressants, or pain relievers to help calm overactive nerves and reduce pain.
  • Topical treatments: Creams or patches with capsaicin or lidocaine can relieve burning or sharp pain in specific areas.
  • Physical therapy: Exercises enhance blood flow, build muscle strength, and improve mobility while reducing stiffness.
  • Lifestyle changes: Regular exercise, eating well, and quitting smoking all improve blood flow and nerve health.
  • Alternative therapies: Acupuncture, massage, or TENS (electrical nerve stimulation) may help ease discomfort naturally.
  • Stress management: Relaxation methods such as meditation, deep breathing, or yoga can help reduce the intensity of pain.

Regular checkups ensure that your treatments are effective and not causing any adverse effects. Nerve pain treatment takes time and consistency. When you combine medical care with taking care of yourself, you can control symptoms, move better, and feel better overall. Taking action early and staying on top of your health makes a significant difference in how comfortable you are and how well your nerves function in the long term.

Glucose Control as the Most Effective Prevention Method

Maintaining stable blood sugar levels is the most effective way to prevent or slow the progression of diabetic neuropathy. High blood sugar damages the tiny blood vessels that feed your nerves, cutting off oxygen and nutrients. Over time, this causes nerves to malfunction, leading to pain and loss of sensation. Maintaining steady glucose levels helps protect your nerves and keep them functioning properly.

Benefits of good blood sugar control include:

  • Nerve protection: Maintaining steady glucose levels prevents further damage to nerve fibers and helps signals travel normally.
  • Better circulation: Healthy blood flow ensures your nerves receive enough oxygen and nutrients.
  • Less inflammation: Lower blood sugar reduces harmful stress and inflammation that damage nerve cells.
  • Fewer symptoms: Consistent control means less burning, tingling, and numbness.
  • Faster healing: Maintaining good glucose levels helps injuries heal more quickly and reduces the risk of infection.
  • Mental and emotional health: Balanced blood sugar helps stabilize your mood and thinking.

Getting your blood sugar under control means checking it daily and living a healthy lifestyle. Follow your doctor’s advice about food, medication, and exercise. Eating a diet rich in fiber, lean protein, and whole grains helps prevent blood sugar spikes. Staying active helps your body utilize insulin more effectively. Modern glucose monitors and insulin pumps make it easier to track and adjust your levels throughout the day.

Foot Care and Sensory Protection Tips

Diabetic foot care is crucial when you have neuropathy, as nerve damage can significantly reduce sensation in your feet. Even small cuts or blisters can go unnoticed and turn into serious infections. Protecting your feet through daily care and awareness helps prevent complications and keeps you mobile.

Essential foot care steps include:

  • Check your feet daily: Look for cuts, blisters, swelling, or changes in color every day.
  • Wash gently: Clean your feet with mild soap and warm water, then dry them well, especially between your toes.
  • Use moisturizer: Apply lotion to prevent cracks, but don’t put it between your toes.
  • Wear proper shoes: Choose well-fitting shoes with soft insoles and seamless socks to avoid rubbing.

In addition to daily diabetic foot care, schedule regular foot exams with your doctor or a foot specialist. These visits help identify problems early and ensure you receive help promptly. Special shoes, orthotic inserts, and cushioned socks can make your feet more comfortable and safer. Consistent foot care improves circulation, prevents infections, and helps you stay independent. With daily attention and professional help, you can maintain healthy feet, prevent serious problems, and lead a better life.

Regular Follow-Up with a Neurologist

Regularly consulting a neurologist is crucial for managing nerve damage associated with diabetes. Regular appointments allow your doctor to check your nerve health, track how symptoms change, and adjust your treatment as needed. Catching changes early can prevent lasting damage and help you stay mobile.

Benefits of regular diabetic neuropathy visits include:

  • Complete evaluation: Neurologists use nerve tests and physical exams to see how well your nerves are working.
  • Personalized treatment: Your care plan is tailored to your specific condition, lifestyle, and individual response to treatment.
  • Medication adjustments: Your doctor reviews your doses to make sure pain is controlled without causing side effects.
  • Tracking progress: Regular visits help determine whether your neuropathy is remaining stable, improving, or worsening.
  • Prevention: Early changes can prevent more nerve damage from becoming permanent.
  • Education and support: You’ll learn about foot care, exercise, and blood sugar management to maintain overall health.

The frequency of visits varies, but most people benefit from visits every 3 to 6 months. Between appointments, keep track of your symptoms and maintain good blood sugar control for better results. Staying involved with your neurologist means your diabetic neuropathy gets managed before problems get serious. With expert care, you can manage pain, maintain your independence, and safeguard your nerves for the long term. Need help? Contact our specialists.

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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been prepared.read more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well together.read more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your business.read more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any cookies.read more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going there.read more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my treatment.read more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to finish.read more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 stars.read more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his staff.read more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best treatment.read more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my doctor.read more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding solutions.read more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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