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Distal Symmetrical Polyneuropathy This type, also called simply polyneuropathy, involves the feet and legs and is usually described by the person as numbness or tingling in the feet. Sometimes a burning sensation is noted. Normalizing blood-glucose levels is the best treatment at present. There are several medications that can help this problem, although none will cure it. Of course pain medications and narcotics will control the pain but have long-term problems. Anti-depressants are sometimes helpful as are some anti-seizure drugs such as Tegretol and Neurontin. Capsaicin, a derivative of peppers, in a cream form can sometimes be helpful in relieving the pain and burning but must be used carefully. Autonomic Neuropathy This type of neuropathy involves nerves that work without your needing to pay any attention to them-for example, nerves relating to control of the blood pressure (orthostatic hypertension), to the stomach or gastrointestinal tract (possible problems include disease of the stomach [called gastroparesis] or the intestine [diabetic diarrhea]), to the sweat glands (loss of the ability to perspire), to the bladder (problems with urinating), to balance, and to sexual function. $ million jackpot september 2001 no deposit casinos free money gambling prepaid credit cards slot machine voting machine
