Prevention Of Diabetic Nerve Damage & Its Complications
Diabetics can develop nerve damage at any time, but the risk increases with factors such as age and longer duration of diabetes. Therefore, diabetics play an important role in minimizing their risk of developing diabetic nerve damage and its complications. Some important preventive measures include:
- Keep blood sugar levels under control
The number one strategy for preventing the progression of diabetic nerve damage is tight and stable glycemic control. Self-testing your blood glucose is an important part of diabetic nerve damage and diabetes management. Good blood glucose control may also help prevent or delay the onset of further diabetes complication. Consistency is crucial as fluctuations in blood sugar have been shown to aggravate and/or induce neuropathic pain. Your doctor will determine the best target range for you based on several factors, such as your age, how long you’ve had diabetes, and your overall health and the presence of other medical conditions. Seek advice from your doctor on how often you should check your blood glucose level. Generally, the frequency of testing depends upon the type of diabetes and treatment plan.
- Proper foot care
Daily foot care is essential for preventing complications of diabetic nerve damage. You should examine your feet daily for cracked skin, fissures, plantar callus formation and any signs of bacterial or fungal infections that required prompt medical attention. Use your eyes to inspect your feet and use a mirror to check the bottom of your feet.
Well-fitting shoes are crucial to help prevent foot sores and trauma. New shoes are a common cause of ulceration. You should avoid sources of possible trauma, such as walking barefoot and cutting nails incorrectly. - Regular foot examination
The American Diabetes Association recommends a thorough annual foot examination by a healthcare professional for all patients with diabetes to check for nerve damage. Annual foot examination will help prevent the foot complications of diabetes. Consult your health care professional if you have cuts or breaks in the skin, or if your foot changes colour and shape or have an ingrown nail.
- Being physically active every day
To avoid further injuries, low-impact exercise such as swimming, yoga, tai chi and etc., are recommended for diabetics with nerve damage and decreased sensation of legs. These exercises may also help you improve balance.
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