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Attention, chocolate lovers: You may not be able to help yourselves. Swiss and British scientists have linked the widespread love of chocolate to a chemical "signature" that may be programmed into our metabolic systems.
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Diabetic Neuropathy

Treatment & Monitoring

What are the treatments for the disease?

Good control of blood glucose levels prevents further nerve damage. Low glucose levels can reverse the pain or numbness from nerve damage.

Treatment for pain caused by diabetic neuropathy includes the following therapies:

acupuncture

biofeedback

hypnosis

massage

physical and occupational therapies for treatment of motor involvement

regular moderate walking

relaxation training

transcutaneous electronic nerve stimulation, also called TENS, which uses small bursts of electricity to block pain signals

warm baths

wrapping the legs in elastic stockings

The following medications may be used for treatment of pain caused by diabetic neuropathy:

antidepressant medications, such as amitriptyline and fluphenazine, to relieve pain

capsaicin, a topical cream that helps relieve pain

codeine, a powerful narcotic, for short term relief of severe pain

medications commonly used for seizures, which may relieve nerve pain. These include carbamazepine and phenytoin sodium.

over-the-counter analgesic ointment

pain medications for burning, tingling, or numbness. These include aspirin, acetaminophen, and ibuprofen.

Gastroparesis may be treated by taking the following steps:

Avoid excess fat in the diet.

Eat less fiber.

Eat small, frequent meals.

Medications that can be used in the treatment of gastroparesis are as follows:

erythromycin, an antibiotic

medications that reduce excess stomach acid

metoclopramide, a medication that speeds digestion

Diarrhea and other intestinal problems may be treated with the following:

antibiotics, such as tetracycline

clonidine, a medication normally used to treat high blood pressure

wheat-free diet, since diarrhea can be caused by gluten in wheat flour

Antibiotics are used to treat urinary tract infections. The affected person may be taught to empty the bladder frequently. He or she may be advised to increase fluid intake.

Men who have erectile dysfunction may be treated with medication. Sometimes a penile implant is recommended. Counseling may be helpful to reduce stress.

What are the side effects of the treatments?

Antibiotics and other medications may cause stomach upset or allergic reactions.

What happens after treatment for the disease?

Good control of blood glucose levels is important. It can help prevent the onset and progression of neuropathy. Once sensation is impaired to an area, the person will need to be careful to avoid injury. Good diabetic foot care, for example, is especially important if the feet are numb.

How is the disease monitored?

The individual and his or her healthcare provider can monitor diabetic neuropathy. Repeat electromyography and nerve conduction velocity studies may be helpful. Any new or worsening symptoms should be reported to the healthcare provider.

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