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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

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diabetic neuropathy

Diabetic Neuropathy

Jesse Mohoric

Sarah Davis

what is it
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
Stats
  • 60-70% of patients who have diabetes also has neuropathy
  • 11-32% of patients with Diabetic Neuropathy experience painful symptoms
more specifically
More Specifically
  • Different Types
    • Diffuse Peripheral Neuropathy
    • Diffuse Autonomic Neuropathy
    • Localized Peripheral Neuropathy
causes
Causes
  • Exact cause is unknown
  • Theories behind Neuropathy
    • High Glucose Concentration
      • Chemical changes in nerves
      • Damaged blood vessels
    • Genetic Disposition
symptoms
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
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
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
Doctors who see Diabetic Neuropathy
  • General Physician
  • Neurologist
  • Urologist
  • Gastroenterologist
  • Podiatrists
risk factors
Risk Factors
  • Diabetes especially with Hyperglycemia
  • Length of time with Diabetes
  • Cigarette Smoking
  • Alcohol
  • Height- Taller is worse
treatment
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
How to Maintain a Healthy Lifestyle
  • Manage Diabetes
  • Don’t Drink Alcohol
  • Avoid Cigarettes
  • Check your feet regularly
sources of information
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
Sources of Picture
  • http://www.european-hospital.com/topics/article/2523.html
  • www.rdehospital.nhs.uk/.../neuropathy.jpg
  • http://www.mamc.amedd.army.mil/referral/images/neuropathic_ulcer_3x4.jpg
  • http://www.covhealth.com/docs/ultrasound%20machine.jpg
  • http://www.bjmc.net/images/neuropathy.gif
  • http://www.recipeland.com/ara/media/item/2540.jpg