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In regard to patients with painful diabetic neuropathy, the authors assessed the effect of a nutritional supplement for eight parameters of pain, numbness and perceived impairment.

Nutritional Compounds: Can They Have An Impact With Diabetic Neuropathy?

Clinical Editor: John S. Steinberg, DPM | 8,331 reads | 0 comments | 03/03/2008

Diabetic neuropathies are a consequence of long-term hyperglycemia and occur in patients with type 2 diabetes, usually those who are 40 years of age or older. Diabetic neuropathy may occur regardless of whether a patient has insulin-dependent or non-insulin dependent diabetes.

How To Influence The Overwhelmed Patient With Diabetic Neuropathy

Kathleen Satterfield, DPM, FACFAOM, FAPWCA | 5,932 reads | 0 comments | 03/03/2008

The patient with diabetic neuropathy is truly overwhelmed. He or she has gone through the discovery of the disease and perhaps a subsequent refusal to believe it. The patient may not have been following the diet or medication regimen, and now he or she is facing neuropathy and other complications. These patients are now facing decisions about shoes, medications and perhaps even surgical decisions. There may have been career changes, difficulty paying bills and even shifting relationships.

Can Metformin Use Increase The Risk Of Diabetic Neuropathy?

Allen Jacobs DPM FACFAS | 22,099 reads | 1 comments | 03/01/2010

Metformin (Glucophage, Bristol-Myers Squibb) is a commonly utilized biguanide agent for the treatment of diabetes. Increasingly, it appears that metformin may paradoxically increase the risk of neuropathy in the patient with diabetes. Therefore, when you see a patient with diabetes who is taking metformin, greater surveillance may be necessary for the presence of sensory, autonomic and motor neuropathy.

Essential Insights On Managing Symptomatic Diabetic Neuropathy

Stephanie Wu, DPM, MS | 14,054 reads | 0 comments | 09/22/2009

Given the common prevalence and debilitating effects of neuropathic pain, it is important to have a strong understanding of effective treatment options. Accordingly, this author reviews the literature on currently available modalities as well as emerging therapies.

   Chronic neuropathic pain is a significant public health issue, which is often associated with negative physical, psychological and social sequelae.1-3 Pain is considered the third most common healthcare problem and it disables more individuals than heart disease and cancer combined.1

Case Study: Working Through The Differential Diagnosis Of Diabetic Neuropathy

Kathleen Satterfield, DPM | 13,665 reads | 0 comments | 02/27/2009

   Given that neuropathy can have a complex range of manifestations, the diagnosis of the condition is not always as obvious as it initially seems. This author emphasizes the importance of a thorough diagnostic workup and the underappreciated value of communicating with the patient.

Understanding The Impact Of Diabetic Neuropathy On Gait

By Gordon Zernich, CP, BOCPO, Tomas Dowell, CPO, LPO, and Ronald B. Tolchin, DO, FAAPM&R | 32,582 reads | 0 comments | 06/03/2008

Sensory neuropathy is the most common form of diabetic neuropathy. Nerve damage results from poorly managed and chronically high levels of blood sugar. In patients who have type 1 diabetes, which usually affects those 25 years and younger, there is insulin deficiency. In regard to people with type 2 diabetes, their insulin production inadequately meets the body’s daily need to metabolize sugar and starches found in such foods as bread, potatoes, rice and corn.

Neurostimulation: Can It Have An Impact For Painful Diabetic Neuropathy?

Richard Brietstein, DPM, FACFAS, Neil Strauss, DPM, and Alexandra Andes, DPM | 17,650 reads | 0 comments | 05/20/2010

While current modalities for the symptoms of painful diabetic neuropathy include oral medications, topical therapies and surgical treatment, emerging research suggests the potential benefits of neurostimulation. Accordingly, these authors review the current literature and offer insights on proper patient selection for appropriate referrals.

Can Fibrates Help Improve Sensation In Patients With Diabetic Neuropathy?

David G. Armstrong DPM MD PhD | 3,842 reads | 1 comments | 04/06/2011

At last year's Diabetic Foot Global Conference (DFCon10), Professor Tony Keech of Sydney, Australia, offered us some tantalizing evidence that fenofibrate had a net protective effect on preventing low-level amputations. While the rationale behind this was not entirely clear, further information at DFCon11 and further data seems to suggest the answer may lie in fenofibrate’s potential microvascular benefits.

Current And Emerging Options For Treating Diabetic Neuropathy

By Stephanie Wu, DPM | 38,564 reads | 0 comments | 03/03/2005

   Neuropathy is a common and debilitating complication of diabetes mellitus. According to data compiled by the National Institute of Diabetes and Digestive and Kidney Disease (NIDDK) and the American Diabetes Association (ADA), roughly 60 to 70 percent of the 18.2 million Americans with diabetes will develop some form of diabetic neuropathy and about 3 million patients with diabetes will experience painful neuropathy.    There are three broad types of neuropathy (sensory, motor and autonomic) associated with diabetes.

Detecting And Treating Patients With Diabetic Autonomic Neuropathy

By Damieon Brown, DPM and Javier La Fontaine, DPM | 18,813 reads | 0 comments | 07/03/2004

Autonomic neuropathy may significantly affect the quality of life of patients with diabetes. Unfortunately, despite the common prevalence of this condition in this population, autonomic neuropathy is one of the least understood and recognized complications of diabetes. Not only is there a cloudy picture in regard to the pathogenesis of the condition, there are various clinical manifestations with no degree of consistency in which they may occur. With this in mind, let’s take a closer look at this potentially serious complication among people with diabetes.