• question-icon

    What causes peripheral neuropathy in a patient with diabetes?

default
Posted on Thu, 22 Jun 2017 in Brain and Spine
Question: My neuropathy comes and goes it is primarily in my feet but also at times can cause severe numbness in my hands and forearms. I have also notice that I seem to be craving sugar lately. Does sugar have an affect on neuropathy? I've also notice that when the barometric pressure changes my neuropathy flares up. I also was diagnosed with MGUS, and am being treated at the Hillman Cancer Center @ UPMC. Do the two share anything in common? Please respond. Thank you.
doctor
Answered by Dr. Olsi Taka 1 hour later
Brief Answer:
MGUS certainly related, sugar possibly.

Detailed Answer:
I read your question carefully and I understand your concern.

Sugar can have an effect on neuropathy. Diabetes which is associated with high blood sugar levels is in fact the most common cause of neuropathy. Of course that depends also on your metabolism, eating sugar doesn't automatically transfer into high blood sugar level, it depends also on insulin production and responsiveness of the tissues to insulin action. But it is a sign of alarm which should prompt into testing for diabetes if not already done so recently.

As for the MGUS diagnosis, yes it can very much be related to your neuropathy. MGUS can cause a number of peripheral nervous system disorders, polyneuropathy being one of them. Signs of neuropathy may actually be present for some time before the diagnosis of MGUS has been made. The fact you didn't respond to Gabapentin may be related as well, as MGUS related neuropathy is often less responsive to medication for neuropathic pain like gabapentin.

I remain at your disposal for other questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3655 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Severe numbness

doctor1 MD

My right leg are very swollen what should I do and there is some moderate pain

doctor1 MD

I was caught inside a shed burning with toxic cancerous foam and when I walked out side my heart cramped up severly and felt like it was going to...

doctor1 MD

My asthma was controlled over 2-3 years ago, but then it came back recently. This week I had two asthma attacks already, and my symptoms are...

doctor1 MD

Hello, I have been suffering from mild bone aches in shoulders, forearms, legs (more on the knees) for quite sometime now. Another problem that is...

doctor1 MD

Hi, I had a microdiscectomy in Sept. 2013 at L5 S1 and am still having severe numbness down my right leg to foot. It has been about 7 months and it...

Get personalised answers from verified doctor in minutes across 80+ specialties

124 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Olsi Taka
  • Q - What causes microvascular ischemic disease?

  • Q - Suggest treatment for severe headaches

  • Q - Can Lipitor cause brain damage?

  • Q - What causes severe migraine while on Cymbalta and Xanax?

  • Q - What are the signs and symptoms of brain aneurysm?

  • Q - What does intense pain in the temple suggest?

  • Q - What causes intense fatigue, tingling sensation in the feet and leg pain?

  • Q - What causes agitation and inappropriate sexual behavior while having...

  • Q - Suggest remedies for muscle pain, dizziness and constipation when...

  • Q - Can stress cause cyanotic discoloration on the extremities?

backtotop2