Diabetic NeuropathyNAME: LAMYAA ANWAR ALGHAFLI

 

Objectives

Types of diabetic neuropathyClinical feature of diabetic neuropathy InvestigationsTreatment

Diabetic neuropathy is :

Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes

It is characterized by a progressive loss of nerve fiber function.

Types :

Peripheral neuropathy :The most common form of diabetic neuropathy. Lower limb is often affected first, followed by upper limbs

Radiculoplexus neuropathy :It affects nerves in the thighs, hips, buttocks or legs. It is more common in people with type 2 diabetes and older adults.

Symptoms are usually on one side of the body, in some cases symptoms may spread to the other side.

Types :

Autonomic neuropathy :

Mononeuropathy :

It involves damage to a specific nerve. Often comes on suddenly. It's most common in older adults.

• Carpal tunnel syndrome:

It is a common type of compression neuropathy

Clinical features :

Symptoms depend on the type of neuropathy and which nerves are affected.

The first symptom is often numbness, tingling, or pain in the feet.

Symptoms can involve the sensory, motor, and autonomic nervous systems. In some people, mainly those with radiculoplexus neuropathy, the onset of pain may be sudden and severe.

Investigations :

Treatment :

Tight control of blood sugar levels

Care for the feet to prevent complications

Control of pain caused by neuropathy

*Tricyclic antidepressants *Duloxetine  *Gabapentin  *Pregabalin 

*Anesthetic drugs *Alpha-lipoic acid *Narcotics (opioids)

Sources

http://www.uptodate.com

http://www.mayoclinic.org

http://diabetes.niddk.nih.gov

http://emedicine.medscape.com

Any Questions