Evaluation and Prevention of Diabetic Neuropathy
بسم الله الرحمن الرحيم

Diabetic neuropathy is a debilitating disorder that occurs in nearly 50 percent of patients with diabetes. It is a late finding in type 1 diabetes but can be an early finding in type 2 diabetes. The primary types of diabetic neuropathy are sensorimotor and autonomic. Patients may present with only one type of diabetic neuropathy or may develop combinations of neuropathies (e.g.* distal symmetric polyneuropathy and autonomic neuropathy). Distal symmetric polyneuropathy is the most common form of diabetic neuropathy. Diabetic neuropathy also can cause motor deficits* silent cardiac ischemia* orthostatic hypotension* vasomotor instability* hyperhidrosis* gastroparesis* bladder dysfunction* and sexual dysfunction. Strict glycemic control and good daily foot care are key to preventing complications of diabetic neuropathy. (Am Fam Physician 2005;71:2123-8* 2129-30. Copyright© 2005 American Academy of Family Physicians.)

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Evaluation and Prevention of Diabetic Neuropathy

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