Diabetic Neuropathy Treatment (Cont.)

Diabetic Neuropathy Treatment for Dizziness and Weakness

Sitting or standing slowly may help prevent the lightheadedness, dizziness, or fainting associated with blood pressure and circulation problems. Raising the head of your bed or wearing elastic stockings may also help. Some people may benefit from increased salt in the diet and treatment with salt-retaining hormones. Others may benefit from high blood pressure medications. Physical therapy can help when muscle weakness or loss of coordination is a problem.
 

Diabetic Neuropathy Treatment for Urinary and Sexual Problems

To clear up a urinary tract infection, the doctor will probably prescribe an antibiotic. Drinking plenty of fluids will help prevent another infection. People who have incontinence should try to urinate at regular intervals (every 3 hours, for example) since they may not be able to tell when their bladder is full.
 
To treat erectile dysfunction in men, the doctor will first do tests to rule out a hormonal cause. Several methods are available to treat erectile dysfunction caused by neuropathy, including:
 
  • Taking oral drugs
  • Using a mechanical vacuum device
  • Injecting a drug called a vasodilator into the penis before sex.
     
Another option is to surgically implant an inflatable or semirigid device in the penis. A constriction ring or penile sling may also be helpful.
 
Vaginal lubricants may be useful for women when neuropathy causes vaginal dryness. To treat problems with arousal and orgasm, the doctor may refer the woman to a gynecologist.
 
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Written by/reviewed by: Arthur Schoenstadt, MD
Last reviewed by: Arthur Schoenstadt, MD