by
rabort
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Diabetic neuropathy is a common complication of both Type 1 diabetes and Type 2 diabetes. Neuropathy plays a major role in the development of foot ulcers, which cause an enormous burden on quality of life for the patient (especially if amputation becomes necessary).Motor, sensory, and autonomic fibres may all be affected by diabetic neuropathy.
The peripheral complications associated with diabetic neuropathy like pain, disability, vascular disease, and nerve degeneration are considered progressive and irreversible. The prognosis is generally progression of the disease, ongoing pain, amputation of digits or limbs, and increased disability. Improvement is considered unlikely.

At the microscopic level, it is thought that neuropathy causes segmental demyelination of the peripheral nerve fibers. This means that the protective nerve covering called myelin is somehow broken down and stripped off the nerve fibers in a segmental fashion. Spirally folded Schwann cells form the myelin sheath and it is thought that the metabolism of the Schwann cell is somehow interfered with during the process of diabetic neuropathy. (Continued)
<a href=" http://www.drraomd.com/encyclopedia/disease/diabetes.htm">Autonomic neuropathies </a>affect the nerves that regulate involuntary vital functions, including the heart muscle, smooth muscles and glands. Low blood pressure, diarrhea, constipation, sexual impotence, and other symptoms can be caused by autonomic neuropathies.

symptoms

Numbness.
Tingling
Diarrhea
Constipation
Loss of bladder control
Impotence
Facial drooping
Drooping eyelid
Drooping mouth
Vision changes
Dizziness
Weakness
Swallowing difficulty
Speech impairment

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