BOOK ONLINE 24/7

Stop Suffering!

  • Quick n' Easy Online Appointment
  • Book Appointment 24/7
  • Call Office: 915-850-0900.
Monday8:30 AM - 7:00 PM
Tuesday8:30 AM - 7:00 PM
Wednesday8:30 AM - 7:00 PM
Thursday8:30 AM - 7:00 PM
Friday8:30 AM - 7:00 PM
Saturday8:30 AM - 1:00 PM
SundayClosed

Doctor Cell Emergencies 915-540-8444

BOOK ONLINE 24/7

Functional Medicine®

🔴 Notice: As part of our Acute Injury Treatment Practice, we now offer Functional Medicine Integrative Assessments and Treatments* within our clinical scope for chronic degenerative disorders.  Learn More* Call Us Today: 915-850-0900

Functional Medicine Explained

Obesity & Pre-Diabetes Can Still Cause Neuropathy

Share

Peripheral neuropathy may be more common in patients with pre-diabetes than previously thought, and early interventions may be warranted in this patient population, according to researchers from the University of Utah.

Currently, 86 million adults — more than one in three U.S. adults — have prediabetes, according to CDC estimates. Without weight loss and moderate physical activity, 15% to 30% of these people will develop full-blown type 2 diabetes within 5 years.1

“We know now a lot more than we did 3 or 5 years ago about neuropathic pain in patients with prediabetes. Neuropathy affects patients with prediabetes in a continuum,” said J. Rob Singleton, MD, who is a professor of neurology at the University of Utah in Salt Lake City. “We think it is more obesity and dysfunction of lipids (fats) that is causing the problem.”

Research Shows the Link between Obesity, Pre-diabetes and Neuropathy

In another study conducted by researchers from the University of Michigan, peripheral neuropathy was also common in obese patients, even if they had normal blood sugar levels, when compared with lean control participants. This same study also confirmed that rates of neuropathy were increased in participants with prediabetes and diabetes, leading the researchers to conclude that diabetes, prediabetes, and obesity are likely metabolic drivers of peripheral neuropathy. The findings were published in JAMA Neurology.1

Dr. Singleton and his team have been studying peripheral neuropathy associated with prediabetes and metabolic syndrome as well as what treatments may work best. Metabolic syndrome is the name for a group of risk factors that raise the risk for heart disease, diabetes and stroke. Risk factors include high blood pressure, elevated blood glucose, elevated cholesterol, and abdominal fat. Through their research, they have found that many patients with metabolic syndrome have pre-diabetes and peripheral neuropathy. Therefore, a multi-pronged approach to managing these patients is essential.

“We have shown that, in pre-diabetics with neuropathic pain, exercise reduces neuropathic pain and increases the intradermal nerve fibers in the thigh and ankle. We are in the process now of replicating that study,” Singleton said in an interview with Endocrinology Advisor. “You need to improve lipid (cholesterol) function and glucose levels. So, lifestyle issues have to be addressed.”

Relationship Between Nerve Damage and Pre-diabetes

New studies evaluating the link between prediabetes and peripheral neuropathy are filling in some of the gaps in knowledge.

In a study recently published in Diabetes Care, C. Christine Lee, PhD, of the University of Toronto, and colleagues reported that prediabetes was associated with similar risks for nerve dysfunction and damage leading to peripheral neuropathy as one develops with ‘new-onset’ diabetes.2

While the exact mechanisms behind these associations are unclear, a growing body of evidence suggests that peripheral neuropathy begins in the early stages of diabetes pathogenesis, the researchers noted.

Lee and colleagues analyzed data on 467 individuals. The researchers found that the prevalence of peripheral neuropathy was 29% in adults with normal glucose levels, as compared with 49% in adults with prediabetes and 50% in adults with new-onset diabetes.

The researchers also found that progression of elevated glucose (pre-diabetes) over 3 years predicted a higher risk for peripheral neuropathy and nerve dysfunction.

Early intervention with lifestyle changes involving diet and exercise may be vital to preventing the severity of nerve damage, Dr. Lee stated.  This had previously been backed up by another study published in 2006 in Diabetes Care, by Dr. Singleton.  Singleton and his colleagues found that dietary changes and exercise can result in cutaneous reinnervation and improved pain in patients with prediabetes.3

Nerve Damage Occurs Long Before Diabetes

It is imperative to realize that the nerve damage seen in peripheral neuropathy can actually occur long before diabetes sets in.  In fact the most current research has shown that obesity, even with normal glucose (blood sugar) levels has been linked with causing peripheral neuropathy as well as pre-diabetes. Although it is important to strive for maintaining fasting glucose levels between 70 – 80 mg/dL, it is equally important to keep your weight down, lower LDL cholesterol and triglycerides.  All of this can be accomplished without the use of medication or bariatric procedures.

For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

Additional Topics: Neck Pain and Auto Injury

Neck pain is characterized as the most prevalent symptom after being involved in an automobile accident. During an auto collision, the body is exposed to a sheer amount of force due to the high speed impact, causing the head and neck to jolt abruptly back-and-forth as the rest of the body remains in place. This often results in the damage or injury of the cervical spine and its surrounding tissues, leading to neck pain and other common symptoms associated with whiplash-related disorders.

TRENDING TOPIC: EXTRA EXTRA: New PUSH 24/7®️ Fitness Center

Dr. Alex Jimenez D.C.,C.C.S.T

Welcome-Bienvenido's to our blog. We focus on treating severe spinal disabilities and injuries. We also treat Sciatica, Neck and Back Pain, Whiplash, Headaches, Knee Injuries, Sport Injuries, Dizziness, Poor Sleep, Arthritis. We use advanced proven therapies focused on optimal mobility, health, fitness, and structural conditioning. We use Individualized Diet Plans, Specialized Chiropractic Techniques, Mobility-Agility Training, Adapted Cross-Fit Protocols and the "PUSH System" to treat patients suffering from various injuries and health problems. If you would like to learn more about a Doctor of Chiropractic who uses advanced progressive techniques to facilitate complete physical health, please connect with me. We a focus on simplicity to help restore mobility and recovery. I'd love to see you. Connect!

Recent Posts

Anterior/Posterior Pelvic Tilt Prevention with Chiropractic Foot Orthotics

Few individuals realize they have problems with their feet. Flat feet can cause anterior or… Read More

Osteonecrosis of Femoral Head Misdiagnosed As Sciatica

Osteonecrosis is a condition that causes the death of bone tissue from temporary or permanent… Read More

Young Adult Degenerative Disc Disorder and Optimal Spine Health

Young adults don't think about disc deterioration/degeneration until it's time for the golden years. The… Read More

Chiropractic Spinal Manipulation Techniques

There is a multitude of chiropractic techniques for spinal alignment. They are used by chiropractors… Read More

Belly Dancing Can Help Alleviate Back Pain

Belly dancing has been found to be an effective way to help individuals managing low… Read More

The Lumbosacral Joint and Possible Cause For Sciatic Nerve Pain

The lumbosacral joint is the first place chiropractors start their investigation with individuals presenting with… Read More

Online History & Registration 🔘
Call us Today 🔘