Is a diabetic neuropathy curable?
There is no real cure for diabetic neuropathy, but the course of the disease can be positively influenced to the extent that the person affected no longer feels any related symptoms. However, this is only possible if the neuropathy is detected very quickly and treated immediately. Equally important is a disciplined and effective treatment of the underlying diabetes mellitus. In more advanced stages, even with these measures it is possible that the symptoms may not be completely free of symptoms, but a significant improvement can still be achieved. From these aspects it is clear how important it is to follow the diabetes therapy consistently and to have regular check-ups.
What is the course of diabetic neuropathy?
The course of diabetic neuropathy is highly variable and strongly dependent on the quality of blood glucose control.If this is done in a consistent and disciplined manner, the progression of nerve damage can often be slowed or even stopped altogether and the symptoms reduced to a minimum. Some patients even become completely symptom-free under diabetes and neuropathy therapy. However, as a rule, a slow progression of the neuropathy and, consequently, of the associated symptoms can be observed. It is therefore all the more essential to adhere to the recommended intervals for check-ups! To avoid the development of a diabetic foot syndrome, you should regularly check your feet (especially the sole of your foot and other pressure points such as toes and heels) for skin irritation or even open spots.
Treatment of diabetic neuropathy
Since once nerve damage has occurred, it is irreversible, the focus is on preventing progression of the damage and minimizing symptoms. The best and most effective measure to prevent and at the same time treat a diabetic neuropathy is the optimal adjustment of the blood sugar level. Abstaining from alcohol and nicotine also has a positive influence on the course of the disease. There are various therapy options to reduce sensations, loss of function and pain, the choice of which should be made in consultation with the treating physicians (usually family doctor, diabetologist and neurologist). In addition to drug treatment (see below), there is also physiotherapy (especially for paralysis), electrical nerve stimulation (TENS) or cold-heat treatments.
