When you had originally presented to the office,you presented with chronic numbness, tingling, burning,the hands and the feet. It limitedyour ability to walk, limited your ability to sleep, your ability to relax. We've completeda course of treatment here with the Davis neuropathy program, how have you done withthe treatment and how are you feeling today? I feel wonderful. I have to tell you thatthe treatment, I was on both programs. Before I came in, all that I knew that I had wasperipheral neuropathy after your exam, after you examined me. We found out that I had alsospinal stenosismy spine. I have followed your program, both of your programs, the DRSprogram and the peripheral neuropathy program,
and I am doing beautifully. I can now walkwithout assistance which I was having to hold my husband's hand or somebody's hand whenI was shopping or doing anything. I could not ive by myself. I feel like a whole personnow. Well congratulations on your results and we're very proud to have you here as apatient. What else would you like to have me tell you? If you have another questionI could certainly, I would like to tell a little bit about your people that you haveworking for you. They are wonderful, young, professional people. I don't know what kindof a program you put them on, but I love each and every one of them. They're an asset toyour office. Well thank you so much for the
kind words and we look forward to seeing youagain soon. You're welcome.
Hello, I am Randall Gates. I am a chiropractor,as well as being a board certified chiropractic neurologist. We work with patients who have have peripheralneuropathy on a very common basis. It's actually the majority of our case load. What we areseeing is that,our al practice certain neuropathy patients can be helped. So lets pause there. You are watching thisbecause you likely know something about prediabetes and peripheral neuropathy. You may know morethan what your s know about this condition. I'm not saying thata denigration fashion.It's just that this is a relatively new finding
and we will get to that. So what is peripheral neuropathy? Peripheralneuropathy is basically where patients commonly have numbness, tingling and or burning intheir feet, maybe spreading up to their knees and maybe involving their hands. Yes, thereare many other kinds of peripheral neuropathy but they're not what we are commonly talkingabout here. So for those with blood sugar disorders, we'veknown for a long period of time that diabetes causes peripheral neuropathy. The currentstatistics estimate that for those withperipheral neuropathy, diabetes counts for half of that.In our al experience many types of patients
with peripheral neuropathy are told it's yourdiabetes half the time or we don't know the cause the other half of the time. We can runlots of lab tests but we are not going to figure it out. You just have to go home andlive with it because there is really nothing we can do for you anyway. Those are commonly the accounts patients getfrom their medical peripheral neuropathy or their medical general practitioner. Whilethat may have been true some time ago, a new research is coming out that patients withperipheral neuropathy can be helped. So I'm just going to stop there.
So now lets go into prediabetes. The literaturestarted coming out late 1990s early 2000s. This prediabetic peripheral neuropathy hasreally been discovered by two gentlemen out of the Universtiy of Utah, Gordon Smithand Robinson Singleton. These are two neurologists from the University of Utah,which is a specialty center, where they started showing that prediabetes can cause peripheral neuropathy. We thought diabetes counts for half of peripheralneuropathy patientsAmerica. They are now showing that prediabetes can account fora significant percentage. This statistic varies from 10% but I've seen it as high as 30%,which I think is a little too high. Prediabetes
can account for a significant percentage ofthose cases of idopathic peripheral neuropathy or cryptogenic peripheral neuropathies, whichbasically means we don't know the cause of it. So we are now seeing that prediabetescan cause peripheral neuropathy. How does it do that? Well, when someone hasprediabetes,essence what happens is that they have periods where their blood sugargoes too high. It is not too high all the time as is commonly the casean unmanagedcase of diabetes. So let's say you go have your feast of pasta and bread, you go to anice Italian dinner, and if you are moving into a prediabetic state there is a possibilitythat you just cant make enough insulin to
get that sugar into yourself. So insulin takessugar from our blood stream and puts it into our muscle cells or our fat cells. Soessence,prediabetes you eat thathigh carbohyate meal and sugar goes a little too high. When that sugar goes a little toohigh, there are three tissuesthe body that can't get sugar out of them. The retina,the kidney and peripheral nerves and nerve tissue basically. If you can't get sugar out,the problem is that sugar gets converted into a substance that attracts water. So now thosewith prediabetes, we are seeing that they can pull water into the nerves. That can causethe nerves to start to dysfunction.
we know that onefour people withdiabetes will develop foot compliions. These compliions can be serious and can limit you and what you want to do with your life the Joslin al guidelinesrecommend that you have a thorough foot exam by your physician atleast once a year one of the things that can cause foot problems:people with diabetes they result from twomajor problems. The first is neuropathy. diabetes can affect the nerves over time
and as the nerves are affected you may lose the sensationyour feet this may not cause you any discomfort,your feet may feel fine, but not being able to sense problemsyour feet puts them at risk. A second problem is circulation diabetes can affect circulationtheheadthe heart but also affects circulationyour feet. With the circulation decreased, any problem that occursyour feet
will resolve more slowly; infections heal more slowly and you are prone to more compliions. this combination of neuropathy and circulation problems are why your physician needs to carefully examine you feet at least once a year when he or she examines your footthey're going to look at three different things they'll visually inspect your foot tosee if there's any deformities,
they'll look carefully the skin to see if there's any cuts, any sore spots, any lesions thatshould need attention between your toes as wellas the top of the bottom of your feet the physician will also take a look atyour circulation by feeling for pulses at certain spotsyour feet where we know the the pulsesshould be strong and last, they'll check for signs of neuropathy by using either tuning fork or something called a ten gram fibersmall wis
you should be able to sense and if youcan't it means you're especially high risk for problems with yourdiabetes smoking is obviously a problem for anyone's health if you have diabetes smoking isespecially damaging so he can affect the circulation inparticular the circulation to your feet we know that the majority of ourpatients with diabetes who have foot problems have had smoking intheir past
so what can you do to keep your feethealthy? we just talked about stopping smoking ifyou're doing that if you have neuropathy or have had foot problems, examining your feet by yourself everyday looking at the skin is very important keeping your A1c, your blood pressure,your cholesterolcontrol will also decrease your chance of compliions. And remember,