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Diabetic neuropathy
 

Diabetic neuropathy

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it is simple & illustrated, it is good for presentation proposed, you have to read further, this presentation is not enough for getting information

it is simple & illustrated, it is good for presentation proposed, you have to read further, this presentation is not enough for getting information

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    Diabetic neuropathy Diabetic neuropathy Presentation Transcript

    • DIABETIC NEUROPATHY ” “Investigation & Management208004222 Fahad Al-Hulaibi
    • What is Diabetic neuropathy  is the damage to nerves in the body that occurs due to high blood sugar levels from diabetes.
    •   People with diabetes can, over time, develop nerve damage throughout the body.
    •  Asymptomatic. Develops slowly  pain, tingling, or numbness-loss of feeling-in the hands, arms, feet, and legs.
    • according to the National Diabetes Information Clearinghouse
    • ? How can we diagnose Symptoms & physical Examination.
    •  A lack of reflexes in the ankle. A loss of feeling in the feet . Changes in the skin. Drop in blood pressure when you stand up after sitting or lying down
    • Investigations
    • (Electromyogram (EMG .measures the electrical discharges produced in the muscles 
    • (Nerve conduction velocity tests (NCV This test measures how quickly the nerves .in your arms and legs conduct electrical signals
    • .Filament test Sensitivity to touch  using a soft nylon fiber called a monofilament
    • Management
    • Management No definitive treatment. Our aim to: Slowing progression of the disease Relieving pain Managing complications and restoring function
    •  Slowing progression of the disease  keeping blood sugar within a narrow target range. these  may reduce your overall risk of diabetic neuropathy by as much as 60 percent.
    •  Slowing progression of the disease help to slow nerve damage by keebing away from risk factors.E.g. smoking, obesity & alcohol.
    • Relieving pain Anti-seizure medications. Antidepressants. Lidocaine patch. Opioids.
    • Relieving painAnti-seizure medications.Gabapentin , Pregabalin .Side effects may include drowsiness, dizziness and swelling.
    • Relieving pain Antidepressants.Tricyclic antidepressant medicationsside effects, such as dry mouth, sweating, sedation and dizziness.
    • Relieving pain Lidocaine patch.  topical anesthetic lidocaine.No side effect
    • Relieving pain Opioids.tramadol  or oxycodone 
    • Managing complications   and restoring function Urinary tract problems. Digestive problems. Low blood pressure on standing (orthostatic hypotension). Sexual dysfunction. Foot care.
    •  References:  Mayo Foundation for Medical Education and Research
    • THANKS FOR YOUR ATTENTION (: