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
6.
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)
