Keep Your Nervous System
|High blood glucose can cause nerve
What are diabetes problems?
Too much glucose (sugar) in the blood for a long time can cause diabetes
problems. This high blood glucose (also called blood sugar) can damage many
parts of the body, such as the heart, blood vessels, eyes, and kidneys. Heart
and blood vessel disease can lead to heart attacks and strokes. You can do a lot
to prevent or slow down diabetes problems.
This booklet is about nerve problems that can be caused by diabetes. You will
learn the things you can do each day and during each year to stay healthy and
prevent diabetes problems.
What should I do each day to stay healthy with diabetes?
||Follow the healthy eating plan that you and your doctor or dietitian
have worked out.
||Be active a total of 30 minutes most days. Ask your doctor what
activities are best for you.
||Take your diabetes medicines at the same times each day.
||Check your blood glucose every day. Each time you check your blood
glucose, write the number in your record book.
||Check your feet every day for cuts, blisters, sores, swelling, redness,
or sore toenails.
||Brush and floss your teeth and gums every day.
What can I do to prevent diabetes from damaging my nervous system?
Research has shown that people who kept their blood glucose close to normal
were able to lower their risk of nerve damage.
Here is what you can do to prevent nerve damage:
- Keep your blood glucose as close to normal as you can.
- Limit the amount of alcohol you drink.
- Take care of your feet
- Tell your doctor about any problems you have with
- your hands, arms, feet, and legs
- your stomach, bowels, or bladder
- Also tell your doctor if you
- have problems when you have sex
- cannot always tell when your blood glucose is too low
- feel dizzy when you go from lying down to sitting or standing
What can I do to take care of my feet?
Look at your feet every day to check for problems.
- Wash your feet in warm water every day. Make sure the water is not
too hot by testing the temperature with your elbow. Do not soak your feet. Dry
your feet well, especially between your toes.
- Look at your feet every day to check for cuts, sores, blisters,
redness, calluses, or other problems. Checking every day is even more
important if you have nerve damage or poor blood flow. If you cannot bend over
or pull your feet up to check them, use a mirror. If you cannot see well, ask
someone else to check your feet.
- If your skin is dry, rub lotion on your feet after you wash and dry
them. Do not put lotion between your toes.
- File corns and calluses gently with an emery board or pumice stone.
Do this after your bath or shower.
- Cut your toenails once a week or when needed. Cut toenails when
they are soft from washing. Cut them to the shape of the toe and not too
short. File the edges with an emery board. If you cannot cut your own
toenails, ask someone who can or go to a foot doctor.
Always wear slippers or shoes to protect your feet.
- Always wear shoes or slippers to protect your feet from injuries.
- Always wear socks or stockings to avoid blisters. Do not wear socks
or knee-high stockings that are too tight below your knee.
- Wear shoes that fit well. Shop for shoes at the end of the day when
your feet are bigger. Break in shoes slowly. Wear them 1 to 2 hours each day
for the first 1 to 2 weeks.
- Make sure your doctor checks your feet at each checkup.
What does my nervous system do?
Nerves carry messages back and forth between the brain and other parts of the
body. All of your nerves together make up the nervous system.
Some nerves tell the brain what is happening in the body. For example, when
you step on a tack, the nerve in your foot tells the brain about the pain. Other
nerves tell the body what to do. For example, nerves from the brain tell your
stomach when it is time to move food into your intestines.
The nervous system has four main parts--cranial, central, peripheral, and
autonomic. Diabetes can damage the peripheral, autonomic, and cranial
How can diabetes hurt my nervous system?
Having high blood glucose for many years can damage the blood vessels that
bring oxygen to some nerves. High blood glucose can also hurt the covering on
the nerves. Damaged nerves may stop sending messages. Or they may send messages
too slowly or at the wrong times.
Diabetic neuropathy (ne-ROP-uh-thee) is the medical term for damage to the
nervous system from diabetes.
How can diabetes damage to the peripheral nerves affect me?
- Peripheral nerves go to the arms, hands, legs, and feet. Damage to
these nerves can make your arms, hands, legs, or feet feel numb. Also, you
might not be able to feel pain, heat, or cold when you should. You may feel
shooting pains or burning or tingling, like "pins and needles." These feelings
are often worse at night. They can make it hard to sleep. Most of the time
these feelings are on both sides of your body, like in both of your feet. But
they can be on just one side.
Peripheral nerve damage can change the shape of your feet. Foot muscles get
weak and the tendons in the foot get shorter. You can get special shoes that
are made to fit softly around your sore feet or feet that have changed shape.
These special shoes help protect your feet. Medicare and other health
insurance programs may pay for special shoes. Talk to your doctor about how
and where to get these shoes.
Peripheral nerves go from your spinal cord to your arms, hands, legs, and
How can diabetes damage to the autonomic nerves affect me?
- Autonomic nerves help you know your blood glucose is low. Some
people take diabetes medicines that can accidentally make their blood glucose
too low. Damage to the autonomic nerves can make it hard for them to feel the
symptoms of hypoglycemia (hy-po-gly-SEE-mee-uh), also called low blood
This kind of damage is more likely to happen if you have had diabetes for a
long time. It can also happen if your blood glucose has been too low very
Autonomic nerves go from your spinal cord to your lungs, heart, stomach,
intestines, bladder, and sex organs.
- Autonomic nerves go to the stomach, intestines, and other parts of the
digestive system. Damage to these nerves can make food pass through the
digestive system too slowly or too quickly. Nerve problems can cause nausea
(feeling sick to your stomach), vomiting, constipation, or diarrhea.
Nerve damage to your stomach is called gastroparesis (gas-tro-puh-REE-sis).
When nerves to the stomach are damaged, the muscles of the stomach do not work
well and food may stay in the stomach too long. Gastroparesis makes it hard to
keep blood glucose under control.
Damage to autonomic nerves from diabetes may cause problems with having
- Autonomic nerves go to the penis. Damage to these nerves can
prevent a man's penis from getting firm when he wants to have sex. This
condition is called erectile dysfunction or impotence (IM-po-tents). Many men
who have had diabetes for many years experience it.
- Autonomic nerves go to the vagina. Damage to these nerves prevents
a woman's vagina from getting wet when she wants to have sex. A woman might
also have less feeling around her vagina.
- Autonomic nerves go to the heart. Damage to these nerves might make
your heart beat faster or at different speeds.
Damage to autonomic nerves from diabetes can cause bladder and stomach
- Autonomic nerves go to the bladder. Damage to these nerves can make
it hard to know when you should go to the bathroom. The damage can also make
it hard to feel when your bladder is empty. Both problems can cause you to
hold urine for too long, which can lead to bladder infections. Another problem
can be leaking drops of urine accidentally.
- Autonomic nerves go to the blood vessels that keep your blood pressure
steady. Damage to these nerves makes your blood move too slowly to keep
your blood pressure steady when you change position. When you go from lying
down to standing up or when you exercise a lot, the sudden changes in blood
pressure can make you dizzy.
Diabetes can damage autonomic nerves that help keep your blood pressure
How can diabetes damage to the cranial nerves affect me?
- Cranial nerves go to the eye muscles. Damage to these nerves
usually happens in one eye, causing double vision. This problem happens all of
a sudden and usually lasts for a short time.
- Cranial nerves go to the sides of the face. Damage to these nerves
usually happens on only one side of the face. This nerve damage causes that
side of the face to hang lower or sag. Usually the lower eyelid and lips sag.
This problem is called Bell's palsy. It happens all of a sudden and tends to
Cranial nerves go from your brain to your eyes, mouth, ears, and other
parts of your head.
How do I know if I have nerve damage?
If you have one or more of the problems mentioned in this booklet, you may
have some nerve damage from diabetes. Tell your doctor about the problem. Ask
your doctor what you can do to make the problem better and to stop it from
Ask your doctor what you can do about the problems from diabetes nerve