Treatment of diabetic neuropathy focuses on:
Healthy eating and regular exercise can keep blood sugar under control in some people with diabetes. For others, treatment with one or more medication or with insulin may be needed.
To relieve the pain of peripheral neuropathy, your doctor may first prescribe acetaminophen (Tylenol) or a non-steroidal anti-inflammatory drug (NSAID), such as ibuprofen or naproxen.
There are many other medications available to reduce nerve pain. These include:
Your doctor may also recommend that you rub on a pain-relieving cream containing capsaicin. In more severe cases, doctors may prescribe narcotic medicines.
If you have gastroparesis, eating small, frequent meals low in fat and fiber. Your doctor may prescribe metoclopramide (Reglan) to help the stomach empty.
There are many available treatments for constipation and diarrhea.
To help relieve constipation, drink plenty of fluids and exercise regularly. You also can take:
Use laxatives sparingly. Overuse may lead to dependence and make constipation worse.
For diarrhea, your doctor may prescribe:
If you have poor emptying of the urinary bladder, your doctor will help you minimize medicines that could contribute to the problem of incomplete bladder emptying. Catheters can be used to empty the bladder when neuropathy is severe. Bladder infections requiring antibiotics commonly occur in people with abnormal bladder function.
For erectile dysfunction (impotence), your doctor may prescribe:
Other possible treatments for erectile dysfunction include:
Dizziness when standing can be treated by drinking more fluids. Medicines that increase your body salt and water can also help.
If peripheral neuropathy affects your feet, you should:
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