There are four main types of diabetic neuropathy. You can have one type or more than one type of neuropathy. Your symptoms depend on the type you have and which nerves are affected. Usually, symptoms develop gradually. You may not notice anything is wrong until considerable nerve damage has occurred. Peripheral neuropathy This type of neuropathy may also be called distal symmetric peripheral neuropathy. It's the most common type of diabetic neuropathy. It affects the feet and legs first, followed by the hands and arms. Signs and symptoms of peripheral neuropathy are often worse at night, and may include:  Numbness or reduced ability to feel pain or temperature changes Tingling or burning feeling Sharp pains or cramps Muscle weakness Extreme sensitivity to touch — for some people, even a bedsheet's weight can be painful Serious foot problems, such as ulcers, infections, and bone and joint damage  Autonomic neuropathy The autonomic nervous system controls blood pressure, heart rate, sweating, eyes, bladder, digestive system and sex organs. Diabetes can affect nerves in any of these areas, possibly causing signs and symptoms including:  A lack of awareness that blood sugar levels are low (hypoglycemia unawareness) Drops in blood pressure when rising from sitting or lying down that may cause dizziness or fainting (orthostatic hypotension) Bladder or bowel problems Slow stomach emptying (gastroparesis), causing nausea, vomiting, sensation of fullness and loss of appetite Difficulty swallowing Changes in the way the eyes adjust from light to dark or far to near Increased or decreased sweating Problems with sexual response, such as vaginal dryness in women and erectile dysfunction in men  Proximal neuropathy (diabetic polyradiculopathy) This type of neuropathy often affects nerves in the thighs, hips, buttocks or legs. It can also affect the abdominal and chest area. Symptoms are usually on one side of the body, but may spread to the other side. Proximal neuropathy may include:  Severe pain in the buttock, hip or thigh Weak and shrinking thigh muscles Difficulty rising from a sitting position Chest or abdominal wall pain  Mononeuropathy (focal neuropathy) Mononeuropathy refers to damage to a single, specific nerve. The nerve may be in the face, torso, arm or leg. Mononeuropathy may lead to:  Difficulty focusing or double vision Paralysis on one side of the face Numbness or tingling in the hand or fingers Weakness in the hand that may result in dropping things Pain in the shin or foot Weakness causing difficulty lifting the front part of the foot (foot drop) Pain in the front of the thigh 
types diabetic neuropathy  can type type neuropathy  symptoms depend type nerves affected  usually  symptoms develop gradually  may notice wrong considerable nerve damage occurred  peripheral neuropathy type neuropathy may called distal symmetric peripheral neuropathy  it's common type diabetic neuropathy  affects feet legs first  followed hands arms  signs symptoms peripheral neuropathy worse night  may include:  numbness reduced ability feel pain temperature changes tingling burning feeling sharp pains cramps muscle weakness extreme sensitivity touch — people  bedsheet's weight can painful foot problems  ulcers  infections  bone joint damage  autonomic neuropathy autonomic nervous system controls blood pressure  heart rate  sweating  eyes  bladder  digestive system sex organs  diabetes can affect nerves areas  possibly causing signs symptoms including:  lack awareness blood sugar levels low (hypoglycemia unawareness) drops blood pressure rising sitting lying down may cause dizziness fainting (orthostatic hypotension) bladder bowel problems slow stomach emptying (gastroparesis)  causing nausea  vomiting  sensation fullness loss appetite difficulty swallowing changes way eyes adjust light dark far near increased decreased sweating problems sexual response  vaginal dryness women erectile dysfunction men  proximal neuropathy (diabetic polyradiculopathy) type neuropathy affects nerves thighs  hips  buttocks legs  can affect abdominal chest area  symptoms side body  may spread side  proximal neuropathy may include:  severe pain buttock  hip thigh weak shrinking thigh muscles difficulty rising sitting position chest abdominal wall pain  mononeuropathy (focal neuropathy) mononeuropathy refers damage single  specific nerve  nerve may face  torso  arm leg  mononeuropathy may lead to:  difficulty focusing double vision paralysis side face numbness tingling hand fingers weakness hand may result dropping pain shin foot weakness causing difficulty lifting front part foot (foot drop) pain front thigh 
diabetic neuropathy