Peripheral neuropathy 101
High blood sugar damages the tiny vessels that feed nerves, leading to pain, tingling, numbness, and weakness—often starting in the feet and hands. Stabilizing glucose is the foundation of treatment. Supplements can provide additional support when used wisely with medical guidance.
Supplements with evidence and practice experience
- Alpha‑lipoic acid (ALA): antioxidant and insulin mimetic; often used 600–900 mg/day in divided doses.
- Evening primrose oil (EPO): source of gamma‑linolenic acid (GLA), sometimes used around 1000 mg/day.
Discuss doses and interactions with your clinician, especially if you take medications or have liver issues.
Food and movement still matter most
- Protein‑forward, low‑carb meals to flatten spikes.
- Regular walking and two short strength sessions each week to improve insulin sensitivity and circulation.
- Sleep and stress management to reduce systemic strain.
Safety
Never change medications without supervision. Monitor symptoms and glucose; adjust with your care team. If pain or weakness worsens suddenly, seek prompt evaluation.
