Transcript Diabetic Neuropathy - Bridgewater College

Diabetic Neuropathy
Jesse Mohoric
Sarah Davis
What is it?
Diabetic Neuropathy is a nerve disorder
which is found in patients who have
diabetes
Damage to nerves in Peripheral Nervous
Systems
Stats
60-70% of patients who have diabetes
also has neuropathy
11-32% of patients with Diabetic
Neuropathy experience painful symptoms
More Specifically
Different Types
– Diffuse Peripheral
Neuropathy
– Diffuse Autonomic
Neuropathy
– Localized Peripheral
Neuropathy
Causes
Exact cause is
unknown
Theories behind
Neuropathy
– High Glucose
Concentration
Chemical changes in
nerves
Damaged blood vessels
– Genetic Disposition
Symptoms
Depends on part of body
being affected.
Diffuse Peripheral
– Pain
– Numbness and tingling in
the limbs
– Sensitivity to touch
– More susceptible to feet
injury and infections
– Loss of Balance and
Control
– Loss of sensation
Diffuse Autonomic
– Bladder infections
– Stomach disorders
– dizziness
Symptoms Continued
Localized neuropathy
– Pain in front of thigh,
lower back, chest
stomach and behind
eyes
– Double vision
– Paralysis of one side
of the face
How to Diagnose
Based upon
symptoms
– Pain Assessment
– Screening Test for lost
sensation
– Nerve Conduction
Study
– Electromyography
– Ultrasound
– Nerve Biopsy (extreme
cases)
Doctors who see Diabetic
Neuropathy
General Physician
Neurologist
Urologist
Gastroenterologist
Podiatrists
Risk Factors
Diabetes especially with Hyperglycemia
Length of time with Diabetes
Cigarette Smoking
Alcohol
Height- Taller is worse
Treatment
Treat symptoms and not neuropathy
Manage your glucose levels
Drug Therapy can be used but is not
suggested
Pain Medication
Early treatment more successful and
reversing damage. Later stages of
neuropathy irreversible.
How to Maintain a Healthy Lifestyle
Manage Diabetes
Don’t Drink Alcohol
Avoid Cigarettes
Check your feet
regularly
Sources of Information
Duby, J.J., Campbell, R.K., Setter, S.M., White, J.R., &
Rasmussen, K.A. (2004). Diabetic neuropathy: An
intensive review. American Journal of Health-System
Pharmacists. 61, 160-173.
Huizinga,M.M., & Peltier, A. (2007). Painful Diabetic
Neuropathy: A Management-Centered Review.
Clinical Diabetes. 21, 6-15.
Longe, J.L. (Ed.). (2002). The gale encyclopedia of
medicine. Farmington Hills, MI: Gale Group.
Wong, M., Chung, J.W.Y., & Wong, T.K.S. (2007). Effects of
treatments for symptoms of painful diabetic neuropathy:
systematic review. BMJ. 87, 335-45.
Sources of Picture
http://www.europeanhospital.com/topics/article/2523.html
www.rdehospital.nhs.uk/.../neuropathy.jpg
http://www.mamc.amedd.army.mil/referral/image
s/neuropathic_ulcer_3x4.jpg
http://www.covhealth.com/docs/ultrasound%20m
achine.jpg
http://www.bjmc.net/images/neuropathy.gif
http://www.recipeland.com/ara/media/item/2540.j
pg