Metabolic neuropathies and bad diet

Written in association with: Professor Simone Di Giovanni
Published: | Updated: 18/11/2024
Edited by: Aoife Maguire

Metabolic neuropathies are nerve disorders linked to metabolic issues within the body, often due to conditions like diabetes, hypothyroidism, and nutrient deficiencies. Neuropathy means nerve damage, which can lead to symptoms such as pain, tingling, numbness, and muscle weakness, typically in the hands and feet. While many factors can lead to nerve damage, a poor diet plays a significant role in metabolic neuropathies, influencing the risk and severity of nerve dysfunction.

 

Esteemed consultant neurologist Professor Simone Di Giovanni examines how diet impacts metabolic neuropathies and what dietary factors patients should consider.

 

 

What is metabolic neuropathy, and how is it linked to diet?

 

Metabolic neuropathy results from the body’s inability to properly manage nutrients, hormones, and metabolic waste products. For example, in diabetes, high blood sugar levels damage nerves over time, resulting in diabetic neuropathy. Other metabolic conditions, such as vitamin deficiencies, liver disease, and kidney disease, also affect nerve health by altering essential nutrients or metabolic waste, impairing nerve function.

 

The link between diet and metabolic neuropathy is crucial: when the body lacks the necessary nutrients or is exposed to high levels of harmful compounds due to poor dietary choices, nerves suffer. An unhealthy diet not only contributes to obesity and blood sugar issues but can also result in vitamin deficiencies and oxidative stress (cell damage due to toxins), all of which are harmful to nerve health.

 

How do blood sugar levels affect nerve health?

 

Blood sugar is one of the most significant dietary factors influencing nerve health. When blood sugar levels remain elevated, nerves and blood vessels supplying them can become damaged. This is because high blood sugar leads to the accumulation of harmful substances within nerves and surrounding tissues, impairing their ability to transmit signals effectively.

 

Diabetic neuropathy, a form of metabolic neuropathy commonly seen in diabetes, illustrates this effect. High blood sugar causes inflammation and damages small blood vessels, reducing oxygen supply to nerves. This is why managing blood sugar through a healthy diet, rich in fibre, lean proteins, and low in added sugars, is essential for preventing or slowing nerve damage in people with diabetes or prediabetes.

 

Can a poor diet lead to nutrient deficiencies?

 

A diet lacking essential nutrients like vitamins B1, B6, B12, folate, and vitamin D can directly contribute to nerve damage. These vitamins support healthy nerve function, and a deficiency can make nerves more vulnerable to damage. For example, vitamin B12 is necessary for myelin, the protective coating around nerves, and without it, nerve signalling slows down, leading to symptoms of neuropathy.

 

Poor dietary habits, such as relying on processed foods, lead to nutrient deficiencies and may worsen symptoms of metabolic neuropathy. Eating a balanced diet rich in vegetables, fruits, whole grains, and protein sources like lean meats, eggs, and dairy can help maintain the nutrients needed for optimal nerve health.

 

How does obesity and poor diet increase neuropathy risk?

 

Obesity, often resulting from a diet high in processed foods, unhealthy fats, and sugars, increases the risk of metabolic neuropathies. Excess body weight contributes to insulin resistance (reduced sensitivity to insulin), leading to higher blood sugar levels. Additionally, obesity increases inflammation, which can damage nerves over time.

 

Maintaining a healthy weight through a balanced diet not only helps control blood sugar levels but also reduces inflammation, improving overall nerve health. Consuming foods high in antioxidants, like leafy greens, berries, nuts, and seeds, can further help reduce inflammation and protect nerve tissue from damage.

 

In summary, a balanced, nutrient-rich diet and managing body weight are crucial steps in protecting nerve health, particularly for those at risk of metabolic neuropathies. Taking control of dietary habits can make a significant difference in preventing or alleviating nerve damage associated with metabolic disorders.

 

To book a consultation with Professore Di Giovanni, simply visit his Top Doctors profile today.

By Professor Simone Di Giovanni
Neurology

Professor Simone Di Giovanni, who is the head of the Department of Neurology at Imperial College, is an exceptionally well-regarded consultant neurologist who possesses expertise in areas such as nervous system repair and regeneration, peripheral nervous system disorders, neuropathies, spinal cord injuries, chronic pain, headache, COVID-19-related neurology, as well as radiculopathies. He currently holds an honorary post within the revered NHS as a consultant neurologist, and prior to this, had worked at the University of Tuebingen, Germany, as a research group leader and a stroke and general neurology consultant clinician. 

Not only did the esteemed neurologist gain valuable experience in Germany, but so too over in the US, where he undertook his post-doctoral medical training in neuroscience at the Washington DC-based Georgetown University. Here, he studied gene expression regulation following injury to the spinal cord. Upon completion of his studies, Professor Di Giovanni would then go on to become a research instructor at the aforementioned university, between the years of 2004 and 2006. He studied medicine at La Sapienza University, Rome, and also successfully completed his neurology training again in Rome, this time at the Catholic University. 

The revered doctor currently holds the role as chair in restorative neuroscience at Imperial College London, where he is also a Professor of Neuroscience and the lead of a research group that is responsible for carrying out research relating to the molecular signalling and transcriptional mechanisms that affect and control axonal sprouting and regeneration. This research that is carried out by Professor Di Giovanni and his team is aimed at having broad and significant implications for various conditions, including vascular, traumatic, metabolic, inflammatory and degenerative damage to the spinal cord as well as the peripheral nerves

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