Diabetic NeuropathyDr. Edi Prasetyo, Sp.SFK Univ Yarsi

What is it?Diabetic Neuropathy is a nerve disorder which is found in patients who have diabetes

Damage to nerves in Peripheral Nervous Systems

Stats60-70% of patients who have diabetes also has neuropathy

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

More SpecificallyDifferent TypesDiffuse Peripheral NeuropathyDiffuse Autonomic NeuropathyLocalized Peripheral Neuropathy

CausesExact cause is unknownTheories behind NeuropathyHigh Glucose ConcentrationChemical changes in nervesDamaged blood vesselsGenetic Disposition

SymptomsDepends on part of body being affected.Diffuse PeripheralPainNumbness and tingling in the limbsSensitivity to touchMore susceptible to feet injury and infectionsLoss of Balance and ControlLoss of sensationDiffuse AutonomicBladder infectionsStomach disordersdizziness

Symptoms ContinuedLocalized neuropathyPain in front of thigh, lower back, chest stomach and behind eyesDouble visionParalysis of one side of the face

How to DiagnoseBased upon symptomsPain AssessmentScreening Test for lost sensationNerve Conduction StudyElectromyographyUltrasoundNerve Biopsy (extreme cases)

Doctors who see Diabetic NeuropathyGeneral PhysicianNeurologistUrologistGastroenterologistPodiatrists

Risk FactorsDiabetes especially with HyperglycemiaLength of time with DiabetesCigarette SmokingAlcoholHeight- Taller is worse

TreatmentTreat symptoms and not neuropathyManage your glucose levelsDrug Therapy can be used but is not suggestedPain MedicationEarly treatment more successful and reversing damage. Later stages of neuropathy irreversible.

How to Maintain a Healthy Lifestyle

Manage Diabetes

Dont Drink Alcohol

Avoid Cigarettes

Check your feet regularly

Sources of Information

Duby, J.J., Campbell, R.K., Setter, S.M., White, J.R., & Rasmussen, K.A. (2004). Diabetic neuropathy: An intensive review. American Journal of Health-System Pharmacists. 61, 160-173. Huizinga,M.M., & Peltier, A. (2007). Painful Diabetic Neuropathy: A Management-Centered Review. Clinical Diabetes. 21, 6-15.Longe, J.L. (Ed.). (2002). The gale encyclopedia of medicine. Farmington Hills, MI: Gale Group. Wong, M., Chung, J.W.Y., & Wong, T.K.S. (2007). Effects of treatments for symptoms of painful diabetic neuropathy: systematic review. BMJ. 87, 335-45.

Sources of Picturehttp://www.european-hospital.com/topics/article/2523.html www.rdehospital.nhs.uk/.../neuropathy.jpghttp://www.mamc.amedd.army.mil/referral/images/neuropathic_ulcer_3x4.jpghttp://www.covhealth.com/docs/ultrasound%20machine.jpghttp://www.bjmc.net/images/neuropathy.gifhttp://www.recipeland.com/ara/media/item/2540.jpg

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