Diabetic Neuropathy Flashcards
Which of the following is the most effective first-line treatment for managing his symptoms of Diabetic Neuropathy?
duloxetine, gabapentin, pregabalin or amitriptyline.
What is the key factor in the pathogenesis of diabetic neuropathy?
Chronic hyperglycaemia
Which of the following is the most appropriate next step in the management of this patient?
Duloxetine
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.
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.
Which of the following treatments is the first-line treatment of diabetic neuropathy?
Pregabalin
What would be the most appropriate first line treatment in this situation?
Stabilise blood glucose levels