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DIBETIC NEUROPATHY 20200416_093339 (COMPLICATIONS (Digestive problems,…
DIBETIC NEUROPATHY
PATHOPHYSIOLOGY
Ischemic lesions of the nerves
Chemical changes in peripheral nerve cells
Poor glucose control
Pathologic changes in nerve tissue are related to:
DEFINITION
Type of nerve damage that occur if you have diabetes.
It often damages nerves in your legs and feet
TEST AND DIAGNOSIS
Electromyography (EMG)
Quantitative sensory testing
Nerve conduction studies
Autonomic testing
Filament test
CLASSIFICATION
Polyneuropathy- which involves both sensory and autonomic nerves
Autonomic neuropathy-affects the sympathetic and parasympathetic nervous system
Mononeuropathy- which affects single nerve or group of nerves
TREATMENT
Slowing progression of the disease
Releaving pain
Treatment focuses on:
Managing complications and restoring function
COMPLICATIONS
Digestive problems
Sexual dysfunction
Low blood pressure
Increased sweating
Hypoglycemia unawareness
Urinary tract infections and urinary incontinence
Loss of limb
RISK FACTORS
Kidney disease
Being overweight
Length of time you have diabetes
Smoking
Poor blood sugar control
SYMPTOMS
Pain in your shin or foot
Difficulty focusing your eyes
Muscle weakness
Increased heart rate when at rest
Temperature changes
Numbness or reduced ability to feel pain
