6 voices in 10 minutes: Peripheral neuropathy
DOI:
https://doi.org/10.47196/diab.v54i3Sup.291Keywords:
peripheral neuropathy, complicationAbstract
6 voices in 10 minutes: Update on chronic complications
Peripheral neuropathy
It is the most prevalent complication of diabetes. In T2D, it starts before diagnosis, it is asymptomatic in the 50% of the cases, and it can affect the different parts of the nervous system with different intensity and distribution.
Glycemic control prevents or delays the progression of the distal symmetric polyneuropathy (DSP), which is less evident in T2D than in T1D1. The multifactorial intervention, with a joint objective of glycemic control and the factors of cardiovascular risk, prevents the cardiovascular autonomic neuropathy (CAN) in T2D. Modifications to life style have shown to be useful for patients with prediabetes or metabolic syndrome.
References
-1- Pop-Busui R, Boulton AJM, Feldman EL, Bril V, Freeman R, Malik RA, Sosenko JM, Ziegler D. Diabetic Neuropathy: A Position Statement by the American Diabetes Association. Diabetes Care 2017;40:136-154.
-2- Tesfaye S, Vileikyte L, Rayman G, Sindrup SH, Perkins BA, Baconja M, Vinik AI, Boulton AJM; on behalf of The Toronto Expert Panel on Diabetic Neuropathy. Painful diabetic peripheral neuropathy: consensus recommendations on diagnosis, assessment and management. Diabetes Metab Res Rev 2011;27:629-638.
-3- Kamakshi Patel, MD, MPH, Holli Horak, MD, Ezgi Tiryaki, MD. Diabetic Neuropathies. Muscle and Nerve. https://doi.org/10.1002/mus.27014.
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