Problems with sexual response, such as vaginal dryness in women and erectile dysfunction in men.Changes in the way the eyes adjust from light to dark or far to near.Slow stomach emptying (gastroparesis), causing nausea, vomiting, sensation of fullness and loss of appetite.Drops in blood pressure when rising from sitting or lying down that may cause dizziness or fainting (orthostatic hypotension). A lack of awareness that blood sugar levels are low (hypoglycemia unawareness).Diabetes can affect nerves in any of these areas, possibly causing signs and symptoms including: The autonomic nervous system controls blood pressure, heart rate, sweating, eyes, bladder, digestive system and sex organs. Serious foot problems, such as ulcers, infections, and bone and joint damage.Extreme sensitivity to touch - for some people, even a bedsheet's weight can be painful.Numbness or reduced ability to feel pain or temperature changes.Signs and symptoms of peripheral neuropathy are often worse at night, and may include: It affects the feet and legs first, followed by the hands and arms. It's the most common type of diabetic neuropathy. This type of neuropathy may also be called distal symmetric peripheral neuropathy. You may not notice anything is wrong until considerable nerve damage has occurred. Your symptoms depend on the type you have and which nerves are affected. You can have one type or more than one type of neuropathy. There are four main types of diabetic neuropathy.
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