1. Diabetic Neuropathy
NAME: LAMYAA ANWAR ALGHAFLI

2. Objectives
 Types of diabetic neuropathy
 Clinical feature of diabetic neuropathy
 Investigations
 Treatment

3. Diabetic neuropathy is :
 Diabetic neuropathy is a type of nerve damage that can occur if
you have diabetes
 It is characterized by a progressive loss of nerve fiber function.

4. Types :
 Peripheral neuropathy :
The most common form of diabetic neuropathy. Lower limb is often affected first, followed
by upper limbs
 Radiculoplexus neuropathy :
It affects nerves in the thighs, hips, buttocks or legs. It is more common in people with type
2 diabetes and older adults.
Symptoms are usually on one side of the body, in some cases symptoms may spread to the
other side.

5. Types :
 Autonomic neuropathy :
 Mononeuropathy :
It involves damage to a specific nerve. Often comes on suddenly. It's most
common in older adults.
• Carpal tunnel syndrome:
It is a common type of compression neuropathy

7. Clinical features :
 Symptoms depend on the type of neuropathy and which
nerves are affected.
 The first symptom is often numbness, tingling, or pain in the
feet.
 Symptoms can involve the sensory, motor, and autonomic
nervous systems. In some people, mainly those with
radiculoplexus neuropathy, the onset of pain may be sudden
and severe.

8. Investigations :

9. Treatment :
 Tight control of blood sugar levels
 Care for the feet to prevent complications
 Control of pain caused by neuropathy
*Tricyclic antidepressants
*Duloxetine *Gabapentin *Pregabalin
*Anesthetic drugs *Alpha-lipoic acid *Narcotics (opioids)

10. Sources
 http://www.uptodate.com
 http://www.mayoclinic.org
 http://diabetes.niddk.nih.gov
 http://emedicine.medscape.com

11. Any Questions