Diabetic Focal Neuropathy

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Diabetic neuropathy can also appear suddenly and affect specific nerves, most often in the head, torso, or leg, causing muscle weakness or pain. This is known as focal neuropathy. Symptoms may include: double vision, eye pain, paralysis on one side of the face (Bell's palsy), severe pain in a certain area, such as the lower back or leg(s), chest or abdominal pain that is sometimes mistaken for another condition such as heart attack or appendicitis
Focal neuropathy is painful and unpredictable, however, it tends to improve by itself over weeks or months and does not tend to cause long-term damage.

People with diabetes can also develop other nerve-related conditions, such as nerve compressions (entrapment syndromes).

Carpal tunnel syndrome is a very common type of entrapment syndrome and causes numbness and tingling of the hand and sometimes muscle weakness or pain.

Keeping tight control of your blood sugar levels will help prevent many of these diabetes-related nerve conditions. Talk to your doctor about optimizing your individual diabetes treatment plan.

Reviewed by Certified Diabetes Educators in the Department of Patient Education and Health Information and by physicians in the Department of Endocrinology at The Cleveland Clinic.

SOURCES: American Diabetes Association (ADA): “Diabetic Neuropathy (Nerve Damage) and Diabetes.” ADA: “Additional Specific Types of Diabetic Neuropathy.” National Diabetes Education Program: “Prevention and Early Intervention for Diabetes Foot Problems.”

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