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What is Diabetic Neuropathy?

Diabetic neuropathy is a condition caused by long-term high blood sugar levels, which causes nerve damage.1


Between 60-70% of people with diabetes have some form of neuropathy, according to the National Institute of Diabetes and Digestive and Kidney Diseases.1


People unaware of their diabetes may not know what’s causing some of the unusual sensations they’re experiencing. They can check for symptoms below to more about Diabetic Neuropathy.1




Symptoms of Diabetic Neuropathy2


Diabetic Neuropathy affects the feet and legs first, followed by the hands and arms. Signs and symptoms of peripheral neuropathy are often worse at night, and may include:


Role of Vitamin B12 in Diabetic Neuropathy


  • • A healthy diet is critical in controlling blood sugar & ultimately managing complications such as diabetic neuropathy.3

  • • Vitamin B12 is an essential dietary nutrient. Deficiency of B12 can lead to a number of serious conditions including peripheral neuropathy. Various studies have proven the effectiveness of B12 in Diabetic Neuropathy.3


Did You Know


Diabetic Neuropathy affects every 1 in 2 diabetes patient4


Oral Vitamin B12 can be an effective option for management of Vitamin B12 deficiency5




Exercise Tips6


Keep these in mind while having a plan for work out.

Walking7

Walk everyday briskly for minimum 30 minutes. Follow these steps to ensure good circulation of feet during walking

  1. Start walking by adding pressure on the heel.
  2. Support the heel and forefoot.
  3. Shift your body weight on the external border.
  4. Now move your heel up and allow your body weight to be on the forefoot alone.
  5. Rollover the foot & end the step with big toe.

Knee to chest stretch8

How to correctly perform:

  1. Lie down facing up, with the legs somewhat separated and gathered.
  2. Without moving the legs, raise the trunk as much as possible.

Feet exercise7

These exercise help improve the balance and fluidity of standing up, and prevents lesions of lower limb.

How to correctly perform:

  1. While seating on the front half of a chair place both feet flat on the floor.
  2. Gradually pull the toes and ankle up as high as you can.
  3. Slowly let them down.
  4. To make this exercise more challenging position your feet closer to your body. Repeat for 10-15 times, have 3 repetitions twice a day.


What is Diabetic Foot?

Diabetes can cause tingling and pain, and can make one lose feeling in feet causing unawareness about a cut or blister. A diabetic foot disease includes infection, ulceration, or destruction of tissues of the foot.6


  • Reduces ability to heal6
  • Sometimes change in shape of feet – Charcot’s foot is observed.6
  • Unhealed ulcers or blisters can lead to infections worsening the condition - gangrene.6

 


Risk Levels in Diabetic Neuropathy


It is easy to believe that you are not at risk but it is better to look for early signs.


Foot Care Tips



Beware & check your feet everyday6



Keep the blood flowing to your feet6



Follow these for healthy feet6

Diet rich in Vitamin B12 includes:6

 

  • • Peas, beans, lentils
  • • Poultry, eggs, red meat and fish
  • • Liver
  • • Nuts and Seeds
  • • Low fat or fat-free milk
    Good nutrition is often the first line of defense to prevent peripheral neuropathy7



Recipes to Manage Your Diabetes


NUTRITION FACTS:

Each roti contains
Fat- 8g Protein – 2.7g
Cholesterol- 0 mg Fiber – 2.5g
Sodium- 2.1 mg Calories – 155 kcal
Carbohydrates – 18.2g

Servings: 4 rotis;
Ingredients: • 1 cup jowar flour • ½ cup finely chopped spring onions whites and greens • 1 tsp finely chopped green chilies • 1 tbsp oil • Salt to taste • Jowar flour for rolling • Oil for cooking • Curd for serving

Directions: 1. Combine all the ingredients in a deep bowl and knead into a soft dough using enough hot water. 2. Divide the dough into 4 equal portions and roll each portion into a 125 mm. (5") diameter thick circle using a little jowar flour for rolling. 3. Heat a non-stick tava (griddle) and cook each roti, using a little oil, till brown spots appear on both the sides. 4. Serve hot with fresh curd.

NUTRITION FACTS:

Each serving contains
Fat- 4.4g Protein – 4g
Cholesterol- 0 mg Fiber – 6.8g
Sodium- 12.2mg Calories – 104 kcal
Carbohydrates – 12.2g Sugar – 15g

Servings: 3;
Ingredients: • 18 big brinjal (baingan / eggplant) slices • 2 tsp chilli powder • ½ tsp turmeric powder (haldi) • 1 tbsp lemon juice • ¼ cup besan (bengal gram flour) • Salt to taste • 2 tsp oil for greasing and cooking

Directions: 1. Combine the chilli powder, turmeric powder, lemon juice, besan, salt and 2 tbsp of water in a deep bowl and mix well. 2. Add the baingan slices and mix well. Keep aside. 3. Heat a non-stick tava (griddle), grease it with ½ tsp of oil, arrange baingan slices and cook using ½ tsp of oil on both the sides till golden brown in colour. 4. Serve immediately. .

NUTRITION FACTS:

Each serving contains
Fat- 3.3g Protein – 6.4g
Cholesterol- 0 mg Fiber – 5.8g
Sodium- 12.2 mg Calories – 139 kcal
Carbohydrates – 21g

Servings: 4;
Ingredients: • ¼ cup bajra ¼ cup moong • ½ cup green peas 2 tsp oil • 1 tsp cumin seeds (jeera) A pinch of asafoetida (hing) • ½ cup finely chopped onions 1 cup chopped tomatoes • 1 tsp garlic (lehsun) paste ½ tsp ginger (adrak) paste • ½ tsp green chilli paste ½ tsp turmeric powder • 1 tsp chilli powder Salt to taste

Directions: 1. Soak the bajra and moong separately in water for 5 hours and drain well. 2. Combine the bajra, moong, green peas, salt and 1 cup of water in a pressure cooker, mix well and pressure cook for 5 whistles. 3. Allow the steam to escape before opening the lid. Keep aside. 4. Heat the oil in a deep non-stick pan and add the cumin seeds. 5. When the seeds crackle, add and the asafetida, onions and sauté on a medium flame for 1 minute. 6. Add the tomatoes, garlic paste, ginger paste, green chilli paste, turmeric powder, chilli powder and salt, mix well and cook on a medium flame for 2 to 3 minutes, mash using a potato masher, white stirring occasionally. 7. Add the cooked bajra-moong dal- green pea mixture and ¼ cup of water, mix well and cook on a medium flame for 2 to 3 minutes, while stirring occasionally. 8. Serve hot.

NUTRITION FACTS:

Each mini uttapa contains
Fat- 0.5g Protein – 1.2g
Cholesterol- 0 mg Fiber – 0.2g
Sodium- 1.7 mg Calories – 21 kcal
Carbohydrates – 2.9g

Servings: 21 Uttapas;
Ingredients: • 1 ½ cups sprouted matki (moath beans) • ¼ cup finely chopped coriander (dhania) • 1 tsp green chilli paste • ¼ tsp cumin seeds (jeera) • ¼ tsp asafoetida (hing) • Salt to taste • 1 ¾ tsp oil for greasing and cooking • Onion and mint chutney for servinig

Directions: 1. Combine the sprouted matki and ½ cup of water in a mixer and blend till smooth. 2. Transfer the mixture into a deep bowl, add all the remaining ingredients and mix well. 3. Grease a non-stick mini uttapa pan with ¼ tsp of oil. 4. Pour 1 tbsp of the batter in each of the 7 uttapa moulds and spread it gently in a circular motion to make a 75 mm. (3”) round uttapa. 5. Cook all the uttapas using ½ tsp of oil, till they turn brown in color from both the sides and serve immediately.

Helpful Tips


Talk to your doctor before adapting any exercises


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Disclaimer

For adults only. One tablet daily as directed by the physician. Conditions might not improve if they are due to reasons other than lack of Vitamin Bs present in Neurobion Forte Tablets. For more information, consult your physician. No. 1 as per IQVIA SSA MAT MAY 2018 dataset in terms of units in Vitamin/Minerals/ Nutrients category. Results may vary from person to person.

The data contained in this website is intended for general reference only and is meant for viewers in India only. It may refer to pharmaceutical products, diagnostic techniques, therapeutics or indications not yet registered or approved in a given country and it should be noted that, over time, currency and completeness of the data may change. For updated information, please contact the Company. This data should not be used to diagnose, treat, cure or prevent any disease or condition without the professional advice of a Registered Medical Practitioner, and does not replace medical advice or a thorough medical examination. Registered Medical Practitioners should use their independent professional judgement in checking the symptoms, diagnosing & suggesting the appropriate line of treatment for patients. Merck is not in any way influencing, propagating or inducing anyone to buy or use Merck products. Merck accepts no liability for any loss, damage or compensation claims in connection with any act or omission by anyone based on information contained in or derived through use of this website. Duplication of or copying any data requires prior permission of the copyright holder. Canadian Residents should consult the EMD Serono Canada Inc. website at www.emdserono.ca for information on products and services approved in Canada. US Residents should consult EMD Serono, Inc. website at www.emdserono.com for information on products and services approved in the United States of America.