1. You have high blood sugar and trouble controlling it.
Stick to an exercise program and eat a balanced diet. If you’re eating well and exercising and still have high glucose levels, your doctor may change your plan, and start or adjust your medications.

2. You have had diabetes for many years.
Nerve pain and damage is more common in people who have had diabetes for more than 25 years. The National Diabetes Information Clearinghouse (NDIC) advises having the A1c test, a blood test that measures your average blood glucose control over the previous 2 to 3 months, at least twice a year.

3. You are overweight.
Being overweight puts you at higher risk of diabetic nerve damage, losing even a few pounds can be beneficial to your health. Eat well and choose an exercise plan designed for slow, safe weight loss.

4. You are off-target with your blood fats.
Have your cholesterol checked at least once a year. People with diabetes often have high levels of the blood fat called triglycerides. Elevated LDL ("bad cholesterol") levels can increase heart attack risk.

5. You smoke.
Even if you've been a longtime smoker, you can quit. There are various smoking cessation classes, groups, and resources. Set a quit date and commit yourself.

6. You drink a lot of alcohol.
Alcohol can seriously affect blood sugar levels, and raise your triglyceride level. Both the American Diabetes Association  and NDIC advise cutting down to no more than two drinks a day for men and one drink a day for women to help control diabetic nerve damage.

These risk factors for diabetic neuropathy are under your control. You can reduce your risk of nerve damage and other diabetes complications by keeping your blood sugars in check. While you may not be able to prevent nerve pain and damage completely, when you work to control your risks, you may be able to slow its progression.

From WebMD.com, June 2011