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Published on: July 14, 2023
Central nervous system involvement in diabetic neuropathy.
Dinesh Selvarajah1, Iain D Wilkinson, Jennifer Davies
1Diabetes Research Unit, Sheffield Teaching Hospitals NHS Foundation Trust, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK.
Diabetic neuropathy increasingly affects the central nervous system, not just the peripheral nerves. Advanced neuroimaging reveals how this whole-nervous-system disease impacts brain function, prompting new research directions.
Area of Science:
- Neurology
- Diabetology
- Neuroscience
Background:
- Diabetic neuropathy is a common diabetes complication.
- Traditionally viewed as a peripheral nervous system disorder.
- Emerging evidence points to central nervous system (CNS) involvement.
Purpose of the Study:
- To review recent advances in understanding diabetic neuropathy's CNS effects.
- To highlight the role of neuroimaging in this research.
- To discuss the implications for rethinking diabetic neuropathy.
Main Methods:
- Review of current scientific literature.
- Analysis of neuroimaging studies.
- Synthesis of evidence for CNS involvement.
Main Results:
- Diabetic neuropathy impacts both peripheral and central nervous systems.
- Neuroimaging techniques have improved visualization of CNS changes.
- This broadens the understanding of the condition's pathology.
Conclusions:
- Diabetic neuropathy should be considered a whole-nervous-system disease.
- New research directions are emerging based on CNS involvement.
- This necessitates a critical re-evaluation of the disorder.
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