Diabetic Neuropathies

Question 1

Chronic progressive distal symmetric diabetic polyneuropathy

Answer 1

mixed sensory-autonomic-motor polyneuropathy; variants include small-fiber (painful), large-fiber (ataxic), and autonomic

Question 2

Diabetic proximal motor neuropathy (diabetic amyotrophy)

Answer 2

severe thigh and back pain, followed within weeks by mild to severe hip and thigh muscle weakness with muscle atrophy (usually older TD2 pts)

Question 3

Acute axonal diabetic polyneuropathy (intensely painful acute or subacute progressive symmetric sensory axonal peripheral neuropathy)

Answer 3

Diabetic neuropathic cachexia often associated with weight loss; insulin neuritis (with improved control of hyperglycemia)

Question 4

Diabetic mononeuropathy, radiculopathy, and polyradiculopathy

Answer 4

Can present with cranial neuropathy (third, fourth and sixth nerves), multisegmental truncal radiculopathy or limb mononeuropathy

Question 5

Focal compression neuropathies associated with diabetes

Answer 5

diabetic patietns are more susceptible to compression neuropathies such as median nerve at the wrist, ulnar nerve at the elbow and peroneal nerve at the knee