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Peripheral neuropathies in diabetes

S P O'Brien1, M Schwedler, M D Kerstein

  • 1Division of Vascular Surgery, Allegheny University Hospitals/Allegheny University of the Health Sciences, Philadelphia, Pennsylvania, USA.

The Surgical Clinics of North America
|July 23, 1998
PubMed
Summary

Diabetic peripheral neuropathy management is challenging. Early diagnosis and intervention, focusing on glucose control and foot care, can significantly improve patient quality of life.

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Area of Science:

  • Endocrinology
  • Neurology
  • Diabetology

Background:

  • Diabetic peripheral neuropathy presents a significant clinical challenge.
  • Manifestations vary widely, impacting sensory, motor, and autonomic functions.
  • Disease duration is a key factor in polyneuropathy development.

Purpose of the Study:

  • To provide a comprehensive overview of diabetic peripheral neuropathy.
  • To guide diagnosis and treatment strategies.
  • To emphasize the importance of a multidisciplinary approach.

Main Methods:

  • Review of clinical manifestations of diabetic peripheral neuropathy.
  • Discussion of diagnostic and treatment approaches.
  • Emphasis on preventive care and glycemic control.

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Main Results:

  • Understanding varied clinical presentations is crucial for diagnosis.
  • Preventive measures like proper footwear and avoiding foot trauma are essential.
  • Strict glycemic control through insulin or pancreatic transplant can modify neuropathy progression.

Conclusions:

  • A multidisciplinary approach is vital for managing diabetic peripheral neuropathy.
  • Timely intervention and strict glucose control can decrease morbidity.
  • Further research is needed for novel treatment options.