Diabetic Neuropathy Flashcards
1
Q
What is diabetic neuropathy?
A
The most common chronic complication of diabetes: Peripheral nerve dysfunction due to hyperglycaemia
2
Q
What are risk factors for DN?
A
- Poorly controlled DM
- Older age
- Tall stature
- Prolonged duration of diabetes
- CVD
3
Q
How does DN present?
A
- Can be asymptomatic
- Peripheral pain and loss of sensation in ‘glove and stocking’ distribution
- Abnormal burning/tingling/numbness
4
Q
How is DN investigated?
A
- Diagnosis of exclusion
- Fasting blood glucose/HbA1c
- TFTs, B12, U+E, LFTs, FBC, ESR
5
Q
How is DN managed?
A
Pain: Amitriptyline, Duloxetine, Gabapentin, Pregabalin
Topical capsaicin can be used
Manage diabetes and risk factors
