Peripheral Nerve Disorders: Chapter 33. Diabetic neuropathy

Peripheral Nerve Disorders: Chapter 33. Diabetic neuropathy
ISBN-10
0128078642
ISBN-13
9780128078648
Series
Peripheral Nerve Disorders
Category
Medical
Pages
1008
Language
English
Published
2013-08-17
Publisher
Elsevier Inc. Chapters
Author
GĂ©rard Said

Description

Diabetes is the most common cause of peripheral neuropathy in the world. Both type 1 (insulin-dependent) and type 2 diabetes are commonly complicated by peripheral nerve disorders. Two main types of neuropathy are observed: the most common is a nerve fiber length-dependent, distal symmetrical sensory polyneuropathy with little motor involvement but frequent, and potentially life threatening, autonomic dysfunction. Alteration of temperature and pain sensations in the feet is an early manifestation of diabetic polyneuropathy. The second pattern is a focal neuropathy, which more commonly complicates or reveals type 2 diabetes. Poor diabetic control increases the risk of neuropathy with subsequent neuropathic pains and trophic changes in the feet, which can be prevented by education of patients.

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