Diabetic Neuropathy Flashcards

1
Q

Which of the following is the most effective first-line treatment for managing his symptoms of Diabetic Neuropathy?

A

duloxetine, gabapentin, pregabalin or amitriptyline.

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2
Q

What is the key factor in the pathogenesis of diabetic neuropathy?

A

Chronic hyperglycaemia

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3
Q

Which of the following is the most appropriate next step in the management of this patient?

A

Duloxetine

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4
Q

National Institute for Health and Care Excellence (NICE) guidelines advise that painful diabetic neuropathy should be managed as with any other neuropathic pain condition.

First-line medications include duloxetine, gabapentin, pregabalin or amitriptyline. If one is ineffective a trial of one of the three other medications is indicated.

The patient’s glycemic control should also be addressed with a review of his lifestyle habits and oral medication for diabetes.

Given the HbA1c of 72 mmol/mol, he is likely to require an intensification of his diabetic medication.

A

National Institute for Health and Care Excellence (NICE) guidelines advise that painful diabetic neuropathy should be managed as with any other neuropathic pain condition.

First-line medications include duloxetine, gabapentin, pregabalin or amitriptyline. If one is ineffective a trial of one of the three other medications is indicated.

The patient’s glycemic control should also be addressed with a review of his lifestyle habits and oral medication for diabetes.

Given the HbA1c of 72 mmol/mol, he is likely to require an intensification of his diabetic medication.

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5
Q

Which of the following treatments is the first-line treatment of diabetic neuropathy?

A

Pregabalin

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6
Q

What would be the most appropriate first line treatment in this situation?

A

Stabilise blood glucose levels

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