Diabetic neuropathy comes silently? If you find these 9 anomalies, it's okay to go and see

Diabetic neuropathy develops slowly and is often overlooked by patients, missing diagnosis and optimal treatment time. Persistent hyperglycemia will cause varying degrees of damage to the heart, eyes, intestines and stomach. Especially when the following symptoms are present, you should be alert to diabetic neuropathy and go to the hospital for examination and treatment in time.

1. Diarrhea and Constipation

Diabetic autonomic neuropathy will affect intestinal peristalsis, causing abnormal secretion function, resulting in constipation and diarrhea, especially in the second half of the night. In addition, patients with diarrhea and constipation will alternate.

2. Bloating, hiccups, and loss of appetite

Diabetic patients may experience symptoms such as nausea and vomiting, which is gastroparesis caused by damage to the autonomic nerve. Some patients may also experience diarrhea symptoms, such as electrolyte disturbances, severe dehydration, and malnutrition.

3. Sweating or profuse sweating

Long-term blood sugar disturbance will activate the oxidative stress process, causing damage to the autonomic nerves, and the autonomic nerves control the abnormal secretion of sweat glands, resulting in abnormal sweat gland secretions, resulting in hyperhidrosis and low sweating, and sweating profusely even in a static state , when this problem occurs, you need to be alert to neurological abnormalities.

4. Unbearable itching of the skin

After the autonomic nerve is damaged, the secretion of sweat glands will be reduced. Long-term hyperglycemia in patients can cause chronic dehydration, hypoxia and malnutrition of the skin and mucous membranes, and also dry the skin surface and reduce skin resistance, resulting in stubborn skin itching. There are no papules and wheal changes on the skin at all, but there is obvious itching, which is unbearable in almost every part of the body.

5. Difficulty urinating and erectile dysfunction

Injury to the autonomic nerve can involve the genitourinary system, resulting in abnormal urination, incontinence or retention, and predisposition to urinary tract infections. Menstrual disorders are common in women and erectile dysfunction in men.

6. Dizziness

Cardiac autonomic neuropathy can disrupt cardiac function, the heart rate increases at rest, and sometimes the heart rate at night is not very obvious. Heart rate does not increase during exercise, resulting in insufficient blood supply during exercise, and patients often experience chest tightness, shortness of breath, hypotension, palpitation and dizziness. In addition, long-term blood sugar disorder will cause coronary ischemia of the heart, causing painless coronary heart disease and myocardial infarction. The main symptoms are chest tightness and chest pain, shock and sudden death.

7. Hearing loss

When the cranial nerves of diabetic patients are damaged, different degrees of hearing loss, blurred vision, decreased sense of smell and visual field defects may occur.

8. Blisters or cracks on the lower extremities and feet

The lower extremities, especially the feet, are complicated with sensory neuropathy, and they are very insensitive to temperature and pain. Even after the skin is scratched, stabbed, or scalded, they are unaware of it, causing ulcers. Autonomic neuropathy causes the skin of the lower extremities to sweat less and the skin of the lower extremities and feet to become dry and breakable.

9. Numbness and pain in the extremities

Long-term hyperglycemia and hyperlipidemia can cause varying degrees of damage to peripheral sensory, motor and central nervous systems. The patient's limbs will suddenly worsen, especially the limbs are numb, like ants crawling and walking unsteadily.

Kind tips

Diabetic patients cannot blindly control blood sugar, but also pay attention to blood pressure and blood lipids, and correct early microvascular lesions in time to avoid the development of hypertension and atherosclerosis. Take a low-fat, high-protein and low-cholesterol diet, maintain moderate exercise, actively lose weight, and keep your weight within the standard range.