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Diabetic neuropathy


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Diabetic neuropathy

  1. 1. DIABETIC NEUROPATHY ” “Investigation & Management208004222 Fahad Al-Hulaibi
  2. 2. What is Diabetic neuropathy  is the damage to nerves in the body that occurs due to high blood sugar levels from diabetes.
  3. 3.   People with diabetes can, over time, develop nerve damage throughout the body.
  4. 4.  Asymptomatic. Develops slowly  pain, tingling, or numbness-loss of feeling-in the hands, arms, feet, and legs.
  5. 5. according to the National Diabetes Information Clearinghouse
  6. 6. ? How can we diagnose Symptoms & physical Examination.
  7. 7.  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
  8. 8. Investigations
  9. 9. (Electromyogram (EMG .measures the electrical discharges produced in the muscles 
  10. 10. (Nerve conduction velocity tests (NCV This test measures how quickly the nerves .in your arms and legs conduct electrical signals
  11. 11. .Filament test Sensitivity to touch  using a soft nylon fiber called a monofilament
  12. 12. Management
  13. 13. Management No definitive treatment. Our aim to: Slowing progression of the disease Relieving pain Managing complications and restoring function
  14. 14.  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.
  15. 15.  Slowing progression of the disease help to slow nerve damage by keebing away from risk factors.E.g. smoking, obesity & alcohol.
  16. 16. Relieving pain Anti-seizure medications. Antidepressants. Lidocaine patch. Opioids.
  17. 17. Relieving painAnti-seizure medications.Gabapentin , Pregabalin .Side effects may include drowsiness, dizziness and swelling.
  18. 18. Relieving pain Antidepressants.Tricyclic antidepressant medicationsside effects, such as dry mouth, sweating, sedation and dizziness.
  19. 19. Relieving pain Lidocaine patch.  topical anesthetic lidocaine.No side effect
  20. 20. Relieving pain Opioids.tramadol  or oxycodone 
  21. 21. Managing complications   and restoring function Urinary tract problems. Digestive problems. Low blood pressure on standing (orthostatic hypotension). Sexual dysfunction. Foot care.
  22. 22.  References:  Mayo Foundation for Medical Education and Research