03/12/2026
I see this in patients all the time — blood sugar looks managed, but neuropathy keeps getting worse. It's frustrating, and it's not their fault.
The problem is most people only focus on glucose. But there are actually 3 drivers of nerve degeneration: oxidative metabolic stress, damaged microvascular supply (the tiny vessels that literally feed your nerve fibers), and chronic systemic inflammation — which can progress nerve damage entirely independent of blood sugar.
That last one surprises almost everyone.
The encouraging part: all three are at least partially addressable. Multiple studies link improvements in metabolic control, vascular health, and inflammation to better nerve function over time.
If you're dealing with neuropathy, don't just chase the A1C number. Watch the full explanation here and grab my free Metabolic Health Guide at DrFitzNutrition.com.