Diabetic neuropathies

Question 1

What is diabetic sensory neuropathy and

Answer 1

Loss of temperature, vibration and pain (deep sensation goes first so feels like they are walking on cotton wool)

They also get loss of interosseous muscles, high arching of the food and claw toes

Question 2

What is acute painfull diabetic neuropathy and what is the treatment

Answer 2

this is where you get painfull burning or crawling feeling in their shins

Treatment = neuropathic pain killer (amytriptaline)

Question 3

What is diabetic amytrophy and what is the treatment?

Answer 3

This is painfull wasting of the quadriceps muscles

Treatment is with IV immunoglobulins

Question 4

What is mono neuritis multiplex

Answer 4

this is CN 6 + 3 palsy and sciatica

Question 5

What is autonomic neuropathy and what is the treatment?

Answer 5

here you get features of:

• Postural hypotension
• decreased sweating
• Gastroparesis
• Diarrhoea
• Bladder dysfunction
• Erectile dysfunction

Treatment is with metoclopermide + erythromycin + dopamine