DIABETIC NEUROPATHY Investigation & Management” “

Fahad Al-Hulaibi208004222

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 painManaging 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

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