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Diabetic Neuropathy
NAME: LAMYAA ANWAR ALGHAFLI
Objectives
 Types of diabetic neuropathy
 Clinical feature of diabetic neuropathy
 Investigations
 Treatment
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

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Diabetic neuropathy

  • 2. Objectives  Types of diabetic neuropathy  Clinical feature of diabetic neuropathy  Investigations  Treatment
  • 3. 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.
  • 4. 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.
  • 5. 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
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  • 7. 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.
  • 9. 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)
  • 10. Sources  http://www.uptodate.com  http://www.mayoclinic.org  http://diabetes.niddk.nih.gov  http://emedicine.medscape.com