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Diabetic Proximal Neuropathy, Type 2 Diabetic Muscle Wasting and How to Prevent It

Diabetic peripheral neuropathy is just one of the diabetic neuropathy. Like everything else it is a result of high blood sugar for a long time, but it is not so well known that numbness and tingling in the fingers and toes is called peripheral neuropathy. Almost all type 2 diabetes suffer from this.

But not all people who suffer from type 2 diabetes have symptoms of weakness and muscle weakness that is diabetic neuropathy. This disease is also called diabetic amyotrophy (myo- for muscles and -trophy for damage), and it happens after years and years of having too much sugar in your blood.

Symptoms of diabetes Proximal neuropathy

Diabetic amyotrophy begins with pain in the muscles of the thighs, hips, buttocks, or legs. In rare cases it can also affect the shoulders, but wherever it occurs, the pain is usually on one side only, one side more than the other.

If diabetic nerve damage is the cause of muscle pain, it is in adults who have had diabetes for some time. Type 2 diabetes usually damages the blood vessels that supply the nerves with oxygen, which gradually destroys the muscles over time.

The result is weakness in your legs, not being able to stand up from a chair without help. The knees and ankles are also missing. That’s one reason doctors check your rotations in each body by gently tapping your knee and ankle joints with a small hammer.

If neuropathy continues near diabetes, the result is quadriparesis, or weakness of the arms and legs. That’s why it’s called a waste of muscle. There are other causes for this disease, such as Lou Gehrig’s disease or muscle disease.

But for type 2 diabetes the cause is peripheral nerve disease. Insulin resistance in cells leads to high blood sugar that weakens muscles and tendons, as well as insulin levels that lead to inflammatory symptoms. For a long time these are hidden problems, but after some time the signs of pain and weakness appear, and we are forced to focus on diabetic amyotrophy.

How is diabetic neuropathy diagnosed?

Doctors have tests available to them – nerve conduction studies and needle electromyography are two of them – but usually tests are not required. Your doctor can easily detect the signs of amyotrophy by using imaging tests and checking your posture and gait.

Diabetic neuropathies that your doctor sees every day are very easy to diagnose. Treatment and prevention are the main concern with them, it is good to know that it is possible.

Treatment

Diabetic peripheral neuropathy can be stopped and reversed by controlling your blood sugar. Adopting healthy eating habits is a good starting point for lowering your blood sugar. Next is exercise that not only helps with blood sugar but also strengthens muscles and stimulates nerve growth.

There are medications that can help control blood sugar, but you need to know the side effects of each diabetes medication so you can weigh the benefits. You can also look into nerve pain medications, many of which are similar to what doctors prescribe for depression. That’s because those medications have been shown to be effective against nerve pain.

What that means to me is that if you can stay out of the depression that diabetics suffer from and practice good mental health, the nerve pain will be less severe. Avoiding harmful habits such as smoking, and reducing stress levels will also help you fight neuropathies.

If diabetic neuropathy has made walking difficult, physical therapy is good for restoring your feet and building up weakened muscles. For type 2 diabetes there is always hope because, unlike other wasting diseases, this condition responds to intervention with exercise, weight loss and physical therapy. You can delay and reverse the course of diabetic amyotrophy.

I know how hard it is to suffer. I’m afraid I’m not very good at it. But if we go forward and go through the pain we will be stronger and better. It’s the only way to keep those peripheral nerve symptoms from taking over our lives. Let’s do it.

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