Diabetic Neuropathy Treatment: A Guide

Medically Reviewed by:Scientific Advisory Board

Living with diabetes can be challenging. One of the most common complications we see is diabetic neuropathy. This condition affects millions of people worldwide, and it's characterized by nerve damage resulting from high blood sugar levels. We're here to discuss some of the diabetic neuropathy treatment options that are available for those suffering from this debilitating condition.

diabetic neuropathy treatment


First and foremost, it's essential to recognize that the best way to prevent or slow the progression of diabetic neuropathy is through effective management of blood sugar levels. By diligently monitoring glucose levels and following a well-structured diabetic care plan, we can significantly reduce the likelihood of developing neuropathy or limit its severity. In addition to blood sugar management, a variety of other treatments are available for those already experiencing neuropathy symptoms.

Among the treatment options, there are medications, such as pain relievers and anti-seizure drugs, that can help alleviate neuropathy-associated pain. Additionally, we have therapies like transcutaneous electrical nerve stimulation (TENS), which delivers mild electric currents to the skin, potentially providing pain relief.

Alternative approaches, such as acupuncture and biofeedback, can also offer relief for some patients. Regardless of the chosen treatment, it's crucial to work closely with a healthcare professional to determine the most appropriate plan of action to tackle diabetic neuropathy treatment effectively.

Understanding Diabetic Neuropathy

Diabetic neuropathy is a nerve disorder that results from prolonged high blood sugar levels. It's the most common complication of diabetes, affecting millions of people worldwide. To better understand diabetic neuropathy, we'll discuss its types, symptoms, and risk factors.

There are several types of diabetic neuropathy:

  • Peripheral neuropathy: This is the most common form, affecting nerves in the extremities like hands, feet, and legs. Symptoms include numbness, tingling, burning sensations, and heightened sensitivity to touch.
  • Autonomic neuropathy: This affects the nerves that control involuntary functions, such as digestion, heart rate, and sexual function. Common symptoms are digestive problems, heart irregularities, and bladder or sexual dysfunction.
  • Proximal neuropathy: It affects muscles—typically in the hips, thighs, and buttocks. Symptoms include pain, muscle weakness, and weight loss.
  • Focal neuropathy: This is characterized by damage to a single nerve, commonly in the wrist or back. Symptoms include sudden, severe pain and muscle weakness.
Type Nerves Affected Common Symptoms
Peripheral neuropathy Hands, feet, legs Numbness, tingling, sensitivity to touch
Autonomic neuropathy Involuntary functions (heart rate, digestion) Digestive issues, heart irregularities
Proximal neuropathy Muscles (hips, thighs, buttocks) Pain, muscle weakness, weight loss
Focal neuropathy Single nerve (wrist, back) Sudden pain, muscle weakness

Several risk factors can contribute to the development of diabetic neuropathy:

  • Poorly controlled blood sugar: Consistently high blood sugar levels can damage nerves over time.
  • Duration of diabetes: The longer one has diabetes, the higher the risk of developing neuropathy.
  • Kidney disease: Diabetes can harm your kidneys, which can in turn affect nerve function.
  • Smoking and alcohol use: These habits may increase nerve damage and pain.
  • Obesity: Higher weight can cause additional pressure on nerves and contribute to neuropathy.

By understanding diabetic neuropathy and recognizing its symptoms, we can take the necessary steps to manage and treat it effectively. Awareness of the risk factors and maintaining healthy habits can help us to prevent or mitigate the impact of this complication on our lives.

Importance of Blood Sugar Control

Blood sugar control plays a crucial role in the prevention and management of diabetic neuropathy. It's the key to reducing the risk of nerve damage and improving overall quality of life for people living with diabetes. We'll discuss the importance of blood sugar control in managing diabetic neuropathy and its related health complications.

First and foremost, maintaining optimal blood sugar levels helps minimize the risk of nerve damage. High blood sugar levels can damage the nerves, causing various symptoms such as pain, numbness, and tingling in hands and feet. By keeping blood sugar levels within the recommended range, we can:

  • Reduce inflammation in the nerves
  • Improve nerve function
  • Prevent or delay the onset of neuropathy
  • Decrease the severity of existing neuropathy symptoms

When it comes to managing blood sugar, a comprehensive approach is necessary. This typically involves:

  • Monitoring blood sugar levels regularly
  • Following a balanced, diabetes-friendly diet
  • Engaging in regular physical activity
  • Taking prescribed medications as directed
Recommended Blood Sugar Levels Target Range
Fasting blood sugar (before meals) 80-130 mg/dL
Blood sugar 1-2 hours after meals Less than 180 mg/dL

Consistently high blood sugar levels increase the risk of various health complications. In addition to neuropathy, controlling blood sugar in diabetes can help prevent:

  • Kidney disease
  • Heart disease
  • Stroke
  • Vision problems

Finally, monitoring and controlling blood sugar within the recommended range is crucial in maintaining a good quality of life. Diabetic neuropathy can have a negative impact on one's daily routine, making it difficult to perform simple tasks or enjoy the activities they once loved. Proper blood sugar management can help prevent, treat, and manage diabetic neuropathy, ensuring a better overall quality of life for people living with diabetes.

It's important to work closely with your healthcare team to establish a blood sugar control plan tailored to your specific needs. The input of medical professionals in creating an effective diabetes management plan cannot be underestimated. Remember, managing blood sugar levels is essential in the battle against diabetic neuropathy, and we're here to support you every step of the way.

Pain Management Techniques & Neuropathy Treatment

Dealing with diabetic neuropathy can be challenging, but there are several pain management techniques available to help alleviate discomfort. Here, we'll outline some common methods to help you find relief from the pain caused by this condition.

Medical treatments are often the first option explored for managing neuropathy pain. There are a variety of medications available for this purpose, including:

  • Over-the-counter pain relievers like NSAIDs, such as ibuprofen or naproxen
  • Prescription pain medications, like gabapentin, pregabalin or duloxetine
  • Topical creams or patches containing capsaicin or lidocaine
  • Opioid medications, which may be prescribed in more severe cases, but should be used cautiously due to the risk of addiction

Alongside medical interventions, lifestyle changes can also play a crucial role in managing diabetic neuropathy pain. It's essential to:

  • Maintain healthy blood sugar levels to reduce the likelihood of nerve damage worsening
  • Exercise regularly to promote blood flow and support nerve health
  • Avoid smoking and limit alcohol consumption, as both can aggravate neuropathy symptoms

In addition to medications and lifestyle adjustments, there are a range of alternative therapies that may help alleviate neuropathy pain. Some patients find relief with:

  • Massage therapy, to improve circulation and reduce muscle tension
  • Transcutaneous electrical nerve stimulation (TENS), which uses mild electrical impulses to reduce pain
  • Acupuncture, an ancient Chinese practice that involves inserting thin needles into specific points on the body to help relieve pain
  • Cognitive-behavioral therapy (CBT), a form of counseling that can help patients develop coping strategies for pain

Finally, self-care practices are another effective way to combat neuropathy pain. Incorporate the following techniques into your daily routine for optimal well-being:

  • Proper foot care, which includes regularly checking for cuts, sores or blisters, and wearing comfortable footwear such as Circufiber diabetic socks to provide extra protection
  • Relaxation techniques like deep breathing exercises or meditation to help manage stress and reduce pain
  • Application of heat or cold packs to affected areas for temporary relief from discomfort

When it comes to managing diabetic neuropathy pain, it's important to explore various treatment options and find the combination that works best for you. Remember to consult with your healthcare provider before starting any new pain management regimen.


Throughout our discussion on diabetic neuropathy treatment, we've covered various approaches to manage this condition. A key takeaway from this article is the importance of early diagnosis, as it provides more options for managing symptoms and preventing complications. Let's quickly recap the areas we've covered:

  • Blood sugar control: Keeping blood sugar in the target range is essential. Patients should consult their healthcare team to establish specific targets and develop an action plan.

  • Diabetic neuropathy medications: Numerous medications can help with symptom relief, such as pain, tingling, and numbness. Patients should work closely with their healthcare provider to explore and choose the most suitable options.

  • Lifestyle modifications: Incorporating daily habits like exercise, healthy eating, and quitting smoking can have a positive impact on overall diabetes management and neuropathy symptoms.

  • Proper foot care: Ensuring the health of one's feet is crucial. Using products like Circufiber's medically proven diabetic socks can aid in preventing complications, such as infections and ulcers.

In dealing with diabetic neuropathy, it's essential to consult with healthcare professionals and follow the recommended course of action. Exploring different treatment options and lifestyle changes, as well as utilizing high-quality products like Circufiber diabetic socks, can significantly aid in managing this condition. And as always, staying informed and engaged in your health is the best way to maintain a high quality of life while living with diabetes.

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More About Circufiber.com and Healthcare disclaimer:

Always consult your physician before beginning any program. This general information is not intended to diagnose any medical condition or to replace your healthcare professional. If you experience any pain or difficulty, stop and consult your healthcare provider. Circufiber.com socks are clinically proven to improve micro-circulation in feet and lower extremities in people with Diabetes. 

More Author Information:

Dr. Capozzi is a board-certified foot surgeon through the American Board of Foot and Ankle Surgery. He is a Diplomate of the American Academy of Wound Management and Fellow of the American College of Foot and Ankle Surgeons. He completed a three-year residency program in Foot and Ankle Reconstructive Surgery at St. Francis Hospital & Medical Center in Hartford, CT in 2010. Dr. Capozzi is a board-certified Wound Specialist® granted by the American Academy of Wound Management. He is also board-certified in Foot Surgery through the American Board of Foot and Ankle Surgery.