In Germany, Alpha Lipoic Acid is an approved treatment for Diabetic Neuropathy where high blood sugar levels over several years cause long-term damage to the nerve fibres, in Diabetics, this normally first presents as reduced sensation in the feet and usually spreads further up the legs. The superior antioxidant properties of Alpha Lipoic Acid help to reduce events in the body that cause  the reduced endoneural blood flow and oxygen tension that occurs in cases of Diabetic Neuropathy. Please also see the Diabetes page.