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[ Up ] [ Management drug therapy ] [ Management foot problems ] [ Management kidney problems ] [ Management eye complications ] [ Management Hypertension ] [ Management lipid disorders ] [ Management hypoglycemia ] [ Management neuropathy ]
MANAGEMENT
NEUROPATHY
Management
of diabetic neuropathy.
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Improved
sugar control may significantly improve symptoms if the patient presents
early. | |
Although
many drugs have been tried, no drug shown to be specific for treating
diabetic neuropathy. | |
Topical
application of Caspian (.025-.075 % strength) may improve superficial pain
or discomfort. | |
Severe
pain may require the use of carbamazepine, or antidepressants. | |
Muscle
pain may be improved by stretching exercise, skeletal muscle relaxants,
and use of non steroidal anti-inflammatory agents. | |
Physiotherapy
for improvement in gait disturbance due to pain and muscle imbalance. | |
Deformities
caused by muscle imbalance must be adequately managed. |
"Burning
Feet Syndrome" is difficult to manage;
Associated with
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Usually seen in patients who have been prescribed a severe calories and nutrient restricted diet, or have
-
Significant weight loss, and possibly
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Those managed with relatively large Oral hypoglycemic agents, especially metformin;
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Often associated with efforts for rapid sugar control,
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With episodes of hypoglycemia;
Relief
often possible with high calorie diet, insulin therapy in small doses and weight
gain; anti depressants and non steroidal anti-inflammatory agents may also help.
The
most important aspect of management of diabetic somatic neuropathy must be
prevention of Foot complications.
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