Could You Have Diabetic Polyneuropathy Without Knowing It?
Published: May 08, 2024
Diabetic polyneuropathy is a common nerve disorder in people with diabetes, often going unnoticed until it's too late. Understanding its risk factors and symptoms can help in early detection and management.
Contents
Understanding the Risk Factors
Diabetic polyneuropathy risk increases with longer diabetes duration, poor blood sugar control, and lifestyle factors like obesity and smoking. Older age and metabolic syndrome also raise the chances of developing this nerve condition. Studies show that obesity and metabolic syndrome play significant roles in the onset of diabetic neuropathy, affecting both type 1 and type 2 diabetes patients.
Spotting the Symptoms
Symptoms often start in the toes and feet, including numbness, tingling, and pain, which can be worse at night. Many people remain symptom-free, but physical exams reveal sensory loss. As the condition worsens, symptoms can ascend from feet to hands, creating a 'stocking-glove' pattern of sensory loss.

Complications to Watch For
Without early detection, diabetic polyneuropathy can lead to serious complications like foot ulcers and joint deformities. Loss of sensation increases the risk of injuries and infections, potentially leading to amputations. Regular foot examinations and proper footwear can help prevent severe outcomes.
Frequently Asked Questions
Long-term diabetes, poor sugar control, obesity, and smoking are key risk factors.
Early signs include numbness, tingling, and pain, often starting in the toes.
Yes, up to half of those affected may not show symptoms initially.
Regular foot checks and proper footwear can prevent severe complications.
Key Takeaways
Early detection and management of diabetic polyneuropathy can significantly reduce its impact on your life.
References
- Liu X, Xu Y, An M, Zeng Q. The risk factors for diabetic peripheral neuropathy: A meta-analysis. PLoS One 2019; 14:e0212574.
- Partanen J, Niskanen L, Lehtinen J, et al. Natural history of peripheral neuropathy in patients with non-insulin-dependent diabetes mellitus. N Engl J Med 1995; 333:89.
- Callaghan BC, Xia R, Banerjee M, et al. Metabolic Syndrome Components Are Associated With Symptomatic Polyneuropathy Independent of Glycemic Status. Diabetes Care 2016; 39:801.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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