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DIABETIC NEUROPATHY: PROBLEMS,
CAUSES AND SOLUTIONS
DIABETIC NEUROPATHY CAN BE DEFINED AS:
• “The presence of symptoms and/or signs of peripheral nerve dysfunction in people
with diabetes after other causes have been excluded”
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BURDEN OF DIABETES NEUROPATHY
Cost to the Patient: Pain
Loss of function
Depression
Loss of independence
Loss of earnings
Cost to society: Number of patients growing of Diabetes
(Diabetic Capital-world)
Workforce
Increasing prevalence across all age groups
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Pain
Cache
xia
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WHAT CAUSES DIABETIC NEUROPATHIES?
• Metabolic factors - such as high blood glucose, long duration of diabetes, abnormal blood fat
levels, and possibly low levels of insulin
• Neurovascular factors, leading to damage to the blood vessels that carry oxygen and nutrients
to nerves
• Autoimmune factors that cause inflammation in nerves
• Mechanical injury to nerves
• Lifestyle factors, such as smoking or alcohol use
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DIABETIC PERIPHERAL NEUROPATHY SCREENING
TESTS
• Test sensation
• Biothesiometer
• Tuning fork
• 10 gm monofilament
• Ankle reflexes
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PAIN MANAGEMENT MEDICATIONS IN DPN
Arch Gen Intern Med. 2018;2(4):1-5. DOI: 10.4066/ 2591-7951.1000060
ALGORITHM FOR THE TREATMENT OF DIABETIC
PAINFUL NEUROPATHY
VOLUME 11, ISSUE 6, P521-534, JUNE 01, 2012,DOI:https://doi.org/10.1016/S1474-4422(12)70065-0
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CUSTOMISING TREATMENT
The search for pain management

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Diabetic neuropathy.pptx