When you have diabetes, nerve damage can occur as a result of high blood sugar. This is known as diabetic neuropathy. There are four main types of this condition. You may have just one type or you may have symptoms of several types. Most types of diabetic neuropathy develop gradually, and you may not notice problems until considerable damage has occurred.
Talk with your health care provider if you have any of the following symptoms. The sooner they can be diagnosed and treated, the better the chance of preventing further complications.
Peripheral neuropathy is the most common form of diabetic neuropathy. Your feet and legs are often affected first, followed by your hands and arms. Possible signs and symptoms of peripheral neuropathy include:
The autonomic nervous system controls your blood pressure, heart rate, sweat glands, eyes, bladder, digestive system and sex organs. Diabetes can affect the nerves in any of these areas, possibly causing symptoms including:
Unlike peripheral neuropathy, which affects the ends of nerves in the feet, legs, hands and arms, proximal neuropathy affects nerves in the thighs, hips, buttocks or legs. This condition is more common in people who have type 2 diabetes and in older adults.
Symptoms are usually on one side of the body, though in some cases symptoms may spread to the other side, too. Most people improve at least partially over 6 to 12 months. This condition is often marked by symptoms including:
Mononeuropathy involves damage to a single, specific nerve. The nerve may be in the face, torso, arm or leg. Mononeuropathy, which may also be called focal neuropathy, often comes on suddenly. It's most common in older adults.
Although mononeuropathy can cause severe pain, it usually doesn't cause any long-term problems. Symptoms usually lessen and disappear on their own over a few weeks or months. Symptoms depend on which nerve is involved, and may include:
Sometimes mononeuropathy occurs when a nerve is compressed. Carpal tunnel syndrome is a common type of compression neuropathy in people with diabetes.
Symptoms of carpal tunnel syndrome include:
Be sure to talk with your health care provider if you notice any of these symptoms. The sooner treatment begins, the better the chance of reducing complications.
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Diabetic neuropathy types: Symptoms tell the story - Mayo Clinic
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