General

Diabetic Neuropathy: Be aware of it

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17 Oct 2016 - General
 

Diabetic Neuropathy is a long term complication of diabetes mellitus. Like other microvascular complications of diabetes, it is also a result of uncontrolled or poorly controlled blood sugar level. There is chance of both mononeuropathy and polyneuropathy. Patients may present with symptoms of motor, sensory or autonomic neuropathy. Many people even do not know that they are diabetic and come to doctors with features of neuropathy. I received many patients with complaints of pain and paraesthesia, excessive sweating etc. Many patients come with erectile dysfunction or gastrointestinal disturbance. So, be aware of it. Specially when you get a patient above 40 years old with these symptoms, check blood glucose level. Intensive insulin therapy is essential and symptomatic treatment is required for other problems. 

To be aware of it, we should know the symptoms of diabetic neuropathy. Usually the patients with diabetic neuropathy experience numbness, tingling or pain of the toes, feet, legs, hands or fingers, wasting of the muscles of the feet or hands, nausea, vomiiting, diarrhoea or constipation, dizziness or faintishness. Sometimes they have difficulty in urination and erectile dysfunctions in men and vaginal dryness in women. Damage to the autonomic nerves can cause defective mechanisms in regulating b...
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Completely agree with the topic that we have to be aware of it. Almost all patient that present to our diabetic clinic , do have some for of diabetic neuropathy and sometimes the causes of worst cases of diabetes complications like diabetic foot leading to amputations. All these patients life style is also very much affected by the symptoms . Most commonly are paresthesias especially in long term diabetics with poor glycemic control. As mentioned by ...
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"@[ Madhubabu kaaja]" The treatment of diabetic neuropathy does not need any special treatment. The mainstay of treatment is strict glycemic control. Insulin therapy is essential as oral hypoglycemic agents are not enough. For treatment of pain and paraesthesia, gabapentin, amitryptiline phenytoin etc will be helpful. Anticholinergic drugs can reduce symptoms like excessive sweating. If postural hypotension is present, alpha agonist and fludrocortisone can help. Erectile dysfunction...
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Md Shamim Reza Diabetes is silent disease doing it way in background out of it diabetic neuropathy is a serious complication and many of the diabetics don't know they are diabetic neuropathic or not. It is the major cause of morbidity in diabetic patients about 60% of diabetics. Preventing and treating neuropathy requires a team approach. The members of the team are the patient, patient's family, physicia...
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