PreDiabetic Peripheral Neuropathy Randall Gates Power Health Talk
Hello, I am Randall Gates. I am a chiropractor, as well as being a board certified chiropractic neurologist. We work with patients who have have peripheral neuropathy on a very common basis. It’s actually the majority of our case load. What we are seeing is that, in our al practice certain neuropathy patients can be helped. So lets pause there. You are watching this because you likely know something about prediabetes and peripheral neuropathy. You may know more than what your s know about this condition. I’m not saying that in a denigration fashion. It’s just that this is a relatively new finding.
And we will get to that. So what is peripheral neuropathy? Peripheral neuropathy is basically where patients commonly have numbness, tingling and or burning in their feet, maybe spreading up to their knees and maybe involving their hands. Yes, there are many other kinds of peripheral neuropathy but they’re not what we are commonly talking about here. So for those with blood sugar disorders, we’ve known for a long period of time that diabetes causes peripheral neuropathy. The current statistics estimate that for those withperipheral neuropathy, diabetes counts for half of that. In our al experience many types of patients.
With peripheral neuropathy are told it’s your diabetes half the time or we don’t know the cause the other half of the time. We can run lots of lab tests but we are not going to figure it out. You just have to go home and live with it because there is really nothing we can do for you anyway. Those are commonly the accounts patients get from their medical peripheral neuropathy or their medical general practitioner. While that may have been true some time ago, a new research is coming out that patients with peripheral neuropathy can be helped. So I’m just going to stop there.
So now lets go into prediabetes. The literature started coming out late 1990s early 2000s. This prediabetic peripheral neuropathy has really been discovered by two gentlemen out of the Universtiy of Utah, Gordon Smith and Robinson Singleton. These are two neurologists from the University of Utah, which is a specialty center, where they started showing that prediabetes can cause peripheral neuropathy. We thought diabetes counts for half of peripheral neuropathy patients in America. They are now showing that prediabetes can account for a significant percentage. This statistic varies from 10% but I’ve seen it as high as 30%, which I think is a little too high. Prediabetes.
Can account for a significant percentage of those cases of idopathic peripheral neuropathy or cryptogenic peripheral neuropathies, which basically means we don’t know the cause of it. So we are now seeing that prediabetes can cause peripheral neuropathy. How does it do that? Well, when someone has prediabetes, in essence what happens is that they have periods where their blood sugar goes too high. It is not too high all the time as is commonly the case in an unmanaged case of diabetes. So let’s say you go have your feast of pasta and bread, you go to a nice Italian dinner, and if you are moving into a prediabetic state there is a possibility that you just cant make enough insulin to.
Get that sugar into yourself. So insulin takes sugar from our blood stream and puts it into our muscle cells or our fat cells. So in essence, in prediabetes you eat that high carbohydrate meal and sugar goes a little too high. When that sugar goes a little too high, there are three tissues in the body that can’t get sugar out of them. The retina, the kidney and peripheral nerves and nerve tissue basically. If you can’t get sugar out, the problem is that sugar gets converted into a substance that attracts water. So now those with prediabetes, we are seeing that they can pull water into the nerves. That can cause the nerves to start to dysfunction.
They are also seing in cases of prediabetic peripheral neuropathy. The nerves aren’t actually dying or dead as they see in diabetic peripheral neuropathy, it’s just that the nerves are just kind of swollen. Unfortunately with those with prediabetes as you probably well know, commonly they suffer with painful burning sensations and stabbing pains and things of that nature. It’s not the garden variety typical numbness and tingling sort of neuropathy that in other peripheral neuropathies. It is a painful neuropathy and that is why it is terms a small fiber neuropathy. There are many types of big nerves, like the sciatic nerve.