Diabetic Neuropathy Flashcards
Symmetrical polyneuropathy
’? and ?’ sensory loss, with ?, ? pain and ? lost first.
Patients complain of losing their ? when eye are closed, e.g. when ? their face, due to reduced ?.
o ‘Walking on ? ?’ is another common presenting complaint.
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Symmetrical polyneuropathy
? ? of the small muscle of the feet results in a characteristic foot ?, and abnormal pressure areas lead to ?.
? trauma with poor wound ? may also lead to ?.
Neuropathic ? can also develop.
o ?’s foot.
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Acute painful neuropathy.
Painful ? pains in the ?, ? and ? thighs.
- Associated with ? ? control.
Typically worse in/at ?.
o ? from bedclothes may be intolerable.
Usually remits after ?-? months of good glycaemic control.
More ? forms may be ? to all forms of therapy
burning feet, shins, anterior poor glycaemic night pressure 3-12 chronic resistant
Mononeuropathy.
? nerve lesions can occur in patients with diabetes.
o Mainly ?, ? and ?; ? palsies.
Isolated ? nerve lesions can also occur.
o Any nerve ? syndrome is more common in diabetes, e.g. ? ? syndrome.
o Foot ? may occur due to lesions of the ? nerve.
When more than one nerve is affected, this is known as mononeuritis ?.
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Diabetic amyotrophy.
Amyotrophy is ? ? of muscle tissues.
It is ?, usually developing in ? aged ?.
In diabetes, it presents as ? wasting of the ?.
Course is variable, often with ? but ? improvement.
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Autonomic neuropathy.
Sympathetic dysfunction leads to ? ?, ?failure, reduced ? and ?’s syndrome.
Parasympathetic dysfunction leads to ? dysfunction, ?, urinary ? and a ?-? pupil.
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