Diabetic NeuropathyDiabetic Neuropathy

Jesse MohoricJesse Mohoric

Sarah DavisSarah Davis

What is it?What is it?

Diabetic Neuropathy is a nerve disorder Diabetic Neuropathy is a nerve disorder which is found in patients who have which is found in patients who have diabetesdiabetes

Damage to nerves in Peripheral Nervous Damage to nerves in Peripheral Nervous SystemsSystems

StatsStats

60-70% of patients who have diabetes 60-70% of patients who have diabetes also has neuropathyalso has neuropathy

11-32% of patients with Diabetic 11-32% of patients with Diabetic Neuropathy experience painful symptomsNeuropathy experience painful symptoms

More SpecificallyMore Specifically

Different TypesDifferent Types– Diffuse Peripheral Diffuse Peripheral

NeuropathyNeuropathy– Diffuse Autonomic Diffuse Autonomic

NeuropathyNeuropathy– Localized Peripheral Localized Peripheral

NeuropathyNeuropathy

CausesCauses

Exact cause is Exact cause is unknownunknown

Theories behind Theories behind NeuropathyNeuropathy– High Glucose High Glucose

ConcentrationConcentrationChemical changes in Chemical changes in nervesnerves

Damaged blood Damaged blood vesselsvessels

– Genetic DispositionGenetic Disposition

SymptomsSymptoms

Depends on part of body Depends on part of body being affected.being affected.Diffuse PeripheralDiffuse Peripheral– PainPain– Numbness and tingling in Numbness and tingling in

the limbsthe limbs– Sensitivity to touchSensitivity to touch– More susceptible to feet More susceptible to feet

injury and infectionsinjury and infections– Loss of Balance and Loss of Balance and

ControlControl– Loss of sensationLoss of sensation

Diffuse AutonomicDiffuse Autonomic– Bladder infectionsBladder infections– Stomach disordersStomach disorders– dizzinessdizziness

Symptoms ContinuedSymptoms Continued

Localized neuropathyLocalized neuropathy– Pain in front of thigh, Pain in front of thigh,

lower back, chest lower back, chest stomach and behind stomach and behind eyeseyes

– Double visionDouble vision– Paralysis of one side Paralysis of one side

of the faceof the face

How to DiagnoseHow to Diagnose

Based upon Based upon symptomssymptoms– Pain AssessmentPain Assessment– Screening Test for lost Screening Test for lost

sensationsensation– Nerve Conduction Nerve Conduction

StudyStudy– ElectromyographyElectromyography– UltrasoundUltrasound– Nerve Biopsy (extreme Nerve Biopsy (extreme

cases)cases)

Doctors who see Diabetic Doctors who see Diabetic NeuropathyNeuropathy

General PhysicianGeneral Physician

NeurologistNeurologist

UrologistUrologist

GastroenterologistGastroenterologist

PodiatristsPodiatrists

Risk FactorsRisk Factors

Diabetes especially with HyperglycemiaDiabetes especially with Hyperglycemia

Length of time with DiabetesLength of time with Diabetes

Cigarette SmokingCigarette Smoking

AlcoholAlcohol

Height- Taller is worseHeight- Taller is worse

TreatmentTreatment

Treat symptoms and not neuropathyTreat symptoms and not neuropathy

Manage your glucose levelsManage your glucose levels

Drug Therapy can be used but is not Drug Therapy can be used but is not suggestedsuggested

Pain MedicationPain Medication

Early treatment more successful and Early treatment more successful and reversing damage. Later stages of reversing damage. Later stages of neuropathy irreversible.neuropathy irreversible.

How to Maintain a Healthy LifestyleHow to Maintain a Healthy Lifestyle

Manage DiabetesManage Diabetes

Don’t Drink AlcoholDon’t Drink Alcohol

Avoid CigarettesAvoid Cigarettes

Check your feet Check your feet regularlyregularly

Sources of InformationSources of Information

Duby, J.J., Campbell, R.K., Setter, S.M., White, J.R., & Duby, J.J., Campbell, R.K., Setter, S.M., White, J.R., & Rasmussen, K.A. (2004). Diabetic neuropathy: An Rasmussen, K.A. (2004). Diabetic neuropathy: An intensive review. intensive review. American Journal of Health-System American Journal of Health-System PharmacistsPharmacists. . 6161, 160-173. , 160-173.

Huizinga,M.M., & Peltier, A. (2007). Painful Diabetic Huizinga,M.M., & Peltier, A. (2007). Painful Diabetic Neuropathy: A Management-Centered Neuropathy: A Management-Centered Review. Review. Clinical Clinical DiabetesDiabetes. . 2121, 6-15., 6-15.

Longe, J.L. (Ed.). (2002). Longe, J.L. (Ed.). (2002). The gale encyclopedia of The gale encyclopedia of medicinemedicine. Farmington Hills, MI: Gale Group. . Farmington Hills, MI: Gale Group.

Wong, M., Chung, J.W.Y., & Wong, T.K.S. (2007). Effects Wong, M., Chung, J.W.Y., & Wong, T.K.S. (2007). Effects of treatments for symptoms of painful diabetic of treatments for symptoms of painful diabetic neuropathy: systematic review. neuropathy: systematic review. BMJBMJ. . 8787, 335-45. , 335-45.

Sources of PictureSources of Picture

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