diabetic neuropathy jesse mohoric sarah davis. what is it? diabetic neuropathy is a nerve disorder...
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Diabetic NeuropathyDiabetic Neuropathy
Jesse MohoricJesse Mohoric
Sarah DavisSarah Davis
What is it?What is it?
Diabetic Neuropathy is a nerve disorder Diabetic Neuropathy is a nerve disorder which is found in patients who have which is found in patients who have diabetesdiabetes
Damage to nerves in Peripheral Nervous Damage to nerves in Peripheral Nervous SystemsSystems
StatsStats
60-70% of patients who have diabetes 60-70% of patients who have diabetes also has neuropathyalso has neuropathy
11-32% of patients with Diabetic 11-32% of patients with Diabetic Neuropathy experience painful symptomsNeuropathy experience painful symptoms
More SpecificallyMore Specifically
Different TypesDifferent Types– Diffuse Peripheral Diffuse Peripheral
NeuropathyNeuropathy– Diffuse Autonomic Diffuse Autonomic
NeuropathyNeuropathy– Localized Peripheral Localized Peripheral
NeuropathyNeuropathy
CausesCauses
Exact cause is Exact cause is unknownunknown
Theories behind Theories behind NeuropathyNeuropathy– High Glucose High Glucose
ConcentrationConcentrationChemical changes in Chemical changes in nervesnerves
Damaged blood Damaged blood vesselsvessels
– Genetic DispositionGenetic Disposition
SymptomsSymptoms
Depends on part of body Depends on part of body being affected.being affected.Diffuse PeripheralDiffuse Peripheral– PainPain– Numbness and tingling in Numbness and tingling in
the limbsthe limbs– Sensitivity to touchSensitivity to touch– More susceptible to feet More susceptible to feet
injury and infectionsinjury and infections– Loss of Balance and Loss of Balance and
ControlControl– Loss of sensationLoss of sensation
Diffuse AutonomicDiffuse Autonomic– Bladder infectionsBladder infections– Stomach disordersStomach disorders– dizzinessdizziness
Symptoms ContinuedSymptoms Continued
Localized neuropathyLocalized neuropathy– Pain in front of thigh, Pain in front of thigh,
lower back, chest lower back, chest stomach and behind stomach and behind eyeseyes
– Double visionDouble vision– Paralysis of one side Paralysis of one side
of the faceof the face
How to DiagnoseHow to Diagnose
Based upon Based upon symptomssymptoms– Pain AssessmentPain Assessment– Screening Test for lost Screening Test for lost
sensationsensation– Nerve Conduction Nerve Conduction
StudyStudy– ElectromyographyElectromyography– UltrasoundUltrasound– Nerve Biopsy (extreme Nerve Biopsy (extreme
cases)cases)
Doctors who see Diabetic Doctors who see Diabetic NeuropathyNeuropathy
General PhysicianGeneral Physician
NeurologistNeurologist
UrologistUrologist
GastroenterologistGastroenterologist
PodiatristsPodiatrists
Risk FactorsRisk Factors
Diabetes especially with HyperglycemiaDiabetes especially with Hyperglycemia
Length of time with DiabetesLength of time with Diabetes
Cigarette SmokingCigarette Smoking
AlcoholAlcohol
Height- Taller is worseHeight- Taller is worse
TreatmentTreatment
Treat symptoms and not neuropathyTreat symptoms and not neuropathy
Manage your glucose levelsManage your glucose levels
Drug Therapy can be used but is not Drug Therapy can be used but is not suggestedsuggested
Pain MedicationPain Medication
Early treatment more successful and Early treatment more successful and reversing damage. Later stages of reversing damage. Later stages of neuropathy irreversible.neuropathy irreversible.
How to Maintain a Healthy LifestyleHow to Maintain a Healthy Lifestyle
Manage DiabetesManage Diabetes
Don’t Drink AlcoholDon’t Drink Alcohol
Avoid CigarettesAvoid Cigarettes
Check your feet Check your feet regularlyregularly
Sources of InformationSources of Information
Duby, J.J., Campbell, R.K., Setter, S.M., White, J.R., & Duby, J.J., Campbell, R.K., Setter, S.M., White, J.R., & Rasmussen, K.A. (2004). Diabetic neuropathy: An Rasmussen, K.A. (2004). Diabetic neuropathy: An intensive review. intensive review. American Journal of Health-System American Journal of Health-System PharmacistsPharmacists. . 6161, 160-173. , 160-173.
Huizinga,M.M., & Peltier, A. (2007). Painful Diabetic Huizinga,M.M., & Peltier, A. (2007). Painful Diabetic Neuropathy: A Management-Centered Neuropathy: A Management-Centered Review. Review. Clinical Clinical DiabetesDiabetes. . 2121, 6-15., 6-15.
Longe, J.L. (Ed.). (2002). Longe, J.L. (Ed.). (2002). The gale encyclopedia of The gale encyclopedia of medicinemedicine. Farmington Hills, MI: Gale Group. . Farmington Hills, MI: Gale Group.
Wong, M., Chung, J.W.Y., & Wong, T.K.S. (2007). Effects Wong, M., Chung, J.W.Y., & Wong, T.K.S. (2007). Effects of treatments for symptoms of painful diabetic of treatments for symptoms of painful diabetic neuropathy: systematic review. neuropathy: systematic review. BMJBMJ. . 8787, 335-45. , 335-45.
Sources of PictureSources of Picture
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