几天前，当我终于能够看到四个月前开始的头痛的神经科医生时，他的考试的第一部分是我的脚。我听说过痛苦，但这对我来说似乎是极端的，我告诉他了。
The doctor replied that he would get to my head. In the meanwhile he gave me a complete examination. He used a tuning fork, similar to what musicians use. I could feel it as he went down my legs. But when he got to each of my feet, I felt nothing.
Then he worked down my legs to my feet with the side of a pin. Again, my feet I had no sensation.
He told me that I had peripheral neuropathy. And I could see it for myself. None of my other doctors had ever told me that before.
Since my diabetes diagnoses in February 1994, this was the first complication that I know I have. Neuropathy is the most common complication of diabetes. The National Diabetes Information Clearinghouse says that between 60 and 70 percent of us have one form of neuropathy or another.
Maybe I was in denial. But I told him that Dr. Richard K. Bernstein, the author ofDr. Bernstein's Diabetes Solution, says that he reversed his neuropathy and we can too.
Not surprisingly, my doctor disagreed. Few people are able to reverse any form of neuropathy, probably because they aren't able to reduce their blood glucose levels enough.
If our blood glucose levels have been elevated for years, as Dr. Bernstein said on one of his recent webcasts, we may have autonomic neuropathy, which is the actual destruction of nerves causes. If our neuropathy is autonomic, the nerves have to regrow. That takes time, but isn't impossible.
“在一个年轻，健康的非糖尿病，神经每天毫米的速度再生，”伯尔尼斯坦博士解释说。“所以从你的脚趾尖端到你的脊椎可能是一米米 - 一千毫米。那将是一千天，如果你的健康和更老，那可能是2000天。”
I am in good health, but at age 73 I qualify as a senior citizen. So it may take me 2000 days of extremely good control for the nerves to regrow. That's about 5 1/2 years.
既然我遵循碳水化合物很低，我最近的A1C是4.8％。但只有在过去的2年内，我开始服用后不久Byetta-- has my A1C been consistently below 6.0 -- thenormal level.
This means that I wasn't controlling my diabetes well enough for the first 13 years after my diabetes diagnosis. And for perhaps 10 years before my diagnosis, if my experience was典型, I probably had diabetes and high blood glucose levels too.
Just as it took me years of discipline to get down to a low normal weight, I expect that I will need to take several more years of extremely tight control to reverse the peripheral neuropathy that the neurologist told me that I have. Then, I expect that the poor circulation I already knew that I had in my feet will be a lot better, and I will no longer need to wear socks to bed to keep warm.
与此同时,我的神经终于得到我head. He ruled out migraine as the cause of my headaches, because my symptoms didn't fit. My primary care physician had ruled out a brain tumor on the basis of the CAT scan that he had ordered immediately. Then, an ear, nose, and throat specialist ruled out sinus or nasal polyps after examining me.
But the neurologist suspected that I might have ananeurysmand immediately ordered anMRI and MRAwith and without contrast. This Friday I got the results back, and fortunately they ruled out this serious cause.
A friend told me this morning that doctors have established 150 causes of headaches. Only 145 to check out now
Meanwhile, my headaches are getting much shorter and less severe than they were four months ago. In fact, since I learned two days ago that I don't have an aneurysm, I have felt great. Maybe that's because the report lifted all that worry from my head.
I don't worry about my feet either. I know that I can continue to maintain tight control over my diabetes and expect to reverse my peripheral neuropathy in a few years. Watch for a positive follow-up report here in 2012.