Diabetic neuropathy is a common neuropathic disorder associated with diabetes mellitus.
Presentation is dependent on the type of neuropathy being dealt with .
The condition is diagnosed based on symptoms presented, a physical exam and a medical history . During the exam, the muscle strength and tone is checked, tendon reflexes as well as sensitivity to touch, temperature and vibration are also checked. Other tests that may be conducted include the following:
Diabetic neuropathy has no known cure  . Treatment and management is mostly focused on slowing of the progression of the disease, relieving of pain, management of complications and restoration of functions.
There are certain risk factors associated with more severe cases of diabetic neuropathy. They include the following :
Development of symptoms is however, dependent on a variety of factors such as the total hyperglycemic exposure as well as other risk factors like elevated lipds, blood pressure, smoking, increased height as well as excessive exposure to some other neurotoxic agents like ethanol. Genetic factors have also be considered to have a role.
In the United States, 47% of patients with diabetes show some peripheral neuropathy . Neuropathy is believed to be seen in 7.5% of patients at the time of diagnosis of diabetes with more than half of the cases demonstrating distal symmetric polyneuropathy. Internationally, figures are far lower.
Diabetes mellitus affects men and women with the same frequency. However, male patients with type 2 diabetes may develop polyneuropathy much earlier than their female counterparts. Diabetic neuropathy can be seen at any age but it is most common with increasing age, severity and duration of the diabetes.
The major factors responsible for the development of diabetic neuropathy remains incompletely understood . However, multiple hypotheses have been brought forward. It is generally believed that the condition is a multifactorial process.
Development of symptoms is dependent on several factors such as total hyperglycemic exposure and other risk factors like elevated lipids, blood pressure, smoking, increased height, as well as high exposure to other potentially neurotoxic agents like ethanol. Genetic factors can also play a role.
Important contributing biochemical mechanisms in the development of the more commonly known symmetrical forms of diabetic polyneuropathy may include the following: polyol pathway, advanced glycation end products as well as oxidative stress.
Diabetic neuropathies refer to any of the neuropathic disorders that are commonly associated with diabetes mellitus . These conditions are believed to arise mostly from diabetic microvascular injuries which often involve the small blood vessels responsible for supplying nerves as well as macrovascular conditions that may end up in diabetic neuropathy. There are 4 major types of neuropathy: Peripheral neuropathy, autonomic neuropathy, radiculoplexus neuropathy or diabetic amyotrophy and mononeuropathy.
Diabetic neuropath refers to a type of nerve damage which can occur in people with diabetes. High blood sugar may bring about injury to the nerve fibres around the body but diabetic neuropathy is focused on the legs and feet.
Depending on the affected nerves, symptoms of diabetic neuropathy can range from pain, to numbness in the extremities as well as problems in the urinary tract, digestive tract, blood vessels and the heart. For some people, these symptoms are often mild while for others, diabetic neuropathy can be fatal, painful or disabling.
Diabetic neuropathy is common but serious complication of diabetes that can only be controlled by sticking to prescribed blood sugar controls and living a healthy lifestyle.