Diabetic Pain and Depression

Twenty-one million Americans have diabetes. Six out of ten suffer some nerve damage recognized by symptoms of tingling or muscle weakness. Those having nerve damage to their feet or legs known as peripheral neuropathy are in danger of amputation. Other complications are erectile dysfunction (ED), blindness, kidney failure, etc.

They become less active and often over eat and exercise less. The wearing of an ordinary shoe or binding sock is intolerable. Their ability to walk or do simple exercise may be impossible. Thus, they become depressed and overweight. They often have a guilt complex about smoking or in general their attitude about past health care and failure to recognize the caution signals.

A major issue for the diabetic is how to control the pain. They see an internist, neurologist, podiatrist, ophthalmologist, cardiologist and others. The diabetic that doesn’t loose all nerve feeling in their feet is blessed and cursed, blessed in that amputations are less likely, cursed with severe burning pain on the bottoms of their feet. They elevate their feet and use cold compresses in addition to their regular prescriptions in the effort to relieve the pain. They alter their social and work routines. Severe cases accept employment disability, if fortunate enough to have that option.

Diabetic pain and depression are often treated with the same drugs. The medications prescribed are costly and relieve the pain on a limited basis. Narcotics are an option, but are rarely used. Antidepressants and anti-seizure medications are the remaining drugs of choice. These may alter sleep habits and personalities. Medications help, but none work one hundred percent. Creams work for some others; try surgery in hope of restoring functionality.