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Diabetic Neuropathy

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Stanley Medical College, Department of Medicine

1) Diabetic neuropathy is a syndrome comprising separate clinical disorders that affect the peripheral nervous system, with a prevalence of 66% for type 1 diabetes and 59% for type 2 diabetes. 2) Risk factors include hyperglycemia, longer duration of diabetes, age, hypertension, and smoking. 3) The most common form is distal symmetrical sensorimotor polyneuropathy, which involves small and large fiber sensory, autonomic, and motor nerves in various combinations.

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DIABETIC NEUROPATHY M-1 UNIT DR.KANNAN.G PROF.RUKMANI REDDY
INTRODUCTION ,[object Object],[object Object],[object Object]
HISTORY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RISK FACTORS ,[object Object],[object Object],[object Object],[object Object],[object Object]
PATHOGENESIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLASSIFICATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contd……….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
STAGING ,[object Object],[object Object],[object Object],[object Object]
NEUROPATHY RELATED TO IGT & HYPERGLYCEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object]
DISTAL SYMMETRICAL SENSORIMOTOR POLYNEUROPATHY ,[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SIGNS: ,[object Object],[object Object],[object Object],[object Object],[object Object]
INVESTIGATIONS RECOMMENDED ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL FEATURES SUGGESTING A NON DIABETIC ETIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acute painful neuropathy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Contd……… ,[object Object],[object Object],[object Object],[object Object]
Autonomic neuropathy ,[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL MANIFESTATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONTD……. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contd……….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CRANIAL NEUROPATHY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contd……. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TRUNCAL RADICULONEUROPATHY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LUMBOSACRAL RADICULOPLEXUS NEUROPATHY (BRUNS GARLAND SYNDROME ) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Contd……… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COMPRESSIVE NEUROPATHY: ,[object Object],[object Object],[object Object],[object Object]
TREATMENT ,[object Object],[object Object]
ELECTROPHYSIOLOGICAL TESTING ,[object Object],[object Object],[object Object],[object Object],[object Object]
Contd………. ,[object Object],[object Object],[object Object]
TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object]
SYMPTOMATIC TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ALPHA LIPOIC ACID ,[object Object],[object Object],[object Object],[object Object]
ALDOSE REDUCTASE INHIBITOR ,[object Object],[object Object],[object Object]
ANTIDEPRESSANTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANTICONVULSANTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Refractory neuropathic pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONCLUSION ,[object Object],[object Object],[object Object],[object Object]
THANK YOU

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