Drugs in this class include amitriptyline, nortriptyline (Pamelor) and desipramine (Norpramin). Tricyclic antidepressants may help with mild to moderate nerve pain. Some antidepressants ease nerve pain, even if you aren't depressed. Side effects may include drowsiness, dizziness, and swelling in the hands and feet.Īntidepressants. Gabapentin (Gralise, Neurontin) also is an option. The ADA recommends starting with pregabalin (Lyrica). Some medications used to treat seizure disorders (epilepsy) are also used to ease nerve pain. Pain-relieving prescription treatments may include: When considering any medication, talk to your health care provider about the benefits and possible side effects to find what might work best for you. Many prescription medications are available for diabetes-related nerve pain, but they don't work for everyone. Other important ways to help slow or prevent neuropathy from getting worse include keeping your blood pressure under control, maintaining a healthy weight and getting regular physical activity. Between 100 and 140 mg/dL (5.6 and 7.8 mmol/L) for people age 60 and older, or for those who have other medical conditions, including heart, lung or kidney disease.Between 80 and 120 mg/dL (4.4 and 6.7 mmol/L) for people age 59 and younger who have no other medical conditions.Mayo Clinic generally recommends the following target blood sugar levels before meals: Mayo Clinic encourages slightly lower blood sugar levels for most younger people with diabetes, and slightly higher levels for older people with other medical conditions and who may be more at risk of low blood sugar complications. The American Diabetes Association (ADA) generally recommends an glycated hemoglobin (A1C) of 7.0% or lower for most people with diabetes. Less than 180 mg/dL (10.0 mmol/L) two hours after meals.Between 80 and 130 mg/dL (4.4 and 7.2 mmol/L) before meals.But, in general, the American Diabetes Association (ADA) recommends the following target blood sugar levels for most people with diabetes: Your health care provider will figure out the best target range for you based on factors including your age, how long you've had diabetes and your overall health.īlood sugar levels need to be individualized. Good blood sugar management may even improve some of your current symptoms. Special tests may be done to determine how your blood pressure changes while you are in different positions, and whether your sweating is within the standard range.Ĭonsistently keeping your blood sugar within your target range is the key to preventing or delaying nerve damage. It measures electrical discharges produced in your muscles. Called needle testing, this test is often done along with nerve conduction studies. This test measures how quickly the nerves in your arms and legs conduct electrical signals. This noninvasive test is used to tell how your nerves respond to vibration and changes in temperature. A soft nylon fiber (monofilament) is brushed over areas of your skin to test your sensitivity to touch. Sensitivity to touch, pain, temperature and vibrationĪlong with the physical exam, your health care provider may perform or order specific tests to help diagnose diabetic neuropathy, such as:.Your health care provider typically checks your: Your health care provider can usually diagnose diabetic neuropathy by performing a physical exam and carefully reviewing your symptoms and medical history.
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