Diabetic neuropathy: Review of diagnosis and management

Ioannis Petropoulos, Hassan Fadavi, Omar Asghar, Uazman Alam, Georgios Ponirakis, Mitra Tavakoli, Rayaz Malik

Research output: Contribution to journalArticle

Abstract

Diabetic neuropathy is common, under- or misdiagnosed, and causes not only substantial morbidity but also increased mortality. Apart from improving glycaemic control, there is no licensed treatment for diabetic neuropathy, although a number of pathogenetic pathways remain under active study. Focal and multifocal neuropathies are not common but can be extremely debilitating with few proven therapies. Autonomic dysfunction is more common, but significant deficits, although severe, are relatively rare, with limited therapeutic options. Painful diabetic neuropathy is a cause of considerable morbidity and many pharmacological as well as non-pharmacological interventions have been used. The recent NICE (2010) guidance provides an evidence-based rationale for the management of neuropathic pain in primary care.

Original languageEnglish
Pages (from-to)165-174
Number of pages10
JournalDiabetes and Primary Care
Volume12
Issue number3
Publication statusPublished - 1 Dec 2010

Keywords

  • Autonomic dysfunction
  • Diabetic neuropathy
  • Neuropathy
  • Painful diabetic

ASJC Scopus subject areas

  • Advanced and Specialised Nursing

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    Petropoulos, I., Fadavi, H., Asghar, O., Alam, U., Ponirakis, G., Tavakoli, M., & Malik, R. (2010). Diabetic neuropathy: Review of diagnosis and management. Diabetes and Primary Care, 12(3), 165-174.