Diabetic Neuropathy

Dr. Edi Prasetyo, Sp.S

FK 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

Stats
60-70% of patients who have diabetes
also has neuropathy
11-32% of patients with Diabetic
Neuropathy experience painful symptoms

More Specifically
Different Types
Diffuse Peripheral
Neuropathy
Diffuse Autonomic
Neuropathy
Localized Peripheral
Neuropathy

Causes
Exact cause is
unknown
Theories behind
Neuropathy
High Glucose
Concentration
Chemical changes in
nerves
Damaged blood
vessels

Genetic Disposition

Symptoms
Depends on part of body
being affected.
Diffuse Peripheral
Pain
Numbness and tingling in
the limbs
Sensitivity to touch
More susceptible to feet
injury and infections
Loss of Balance and
Control
Loss of sensation

Diffuse Autonomic

Bladder infections
Stomach disorders
dizziness

Symptoms Continued
Localized neuropathy
Pain in front of thigh,
lower back, chest
stomach and behind
eyes
Double vision
Paralysis of one side
of the face

How to Diagnose
Based upon
symptoms
Pain Assessment
Screening Test for lost
sensation
Nerve Conduction
Study
Electromyography
Ultrasound
Nerve Biopsy (extreme
cases)

Doctors who see Diabetic

Neuropathy
General Physician
Neurologist
Urologist
Gastroenterologist
Podiatrists

Risk Factors
Diabetes especially with Hyperglycemia
Length of time with Diabetes
Cigarette Smoking
Alcohol
Height- Taller is worse

Treatment
Treat symptoms and not neuropathy
Manage your glucose levels
Drug Therapy can be used but is not
suggested
Pain Medication
Early 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 Picture
http://www.europeanhospital.com/topics/article/2523.html
www.rdehospital.nhs.uk/.../neuropathy.jpg
http://www.mamc.amedd.army.mil/referral/image
s/neuropathic_ulcer_3x4.jpg
http://www.covhealth.com/docs/ultrasound
%20machine.jpg
http://www.bjmc.net/images/neuropathy.gif
http://www.recipeland.com/ara/media/item/2540.j
pg