Diabetic neuropathy

Question 1

Most common symptom diabetic neuropathy

Answer 1

Pain

Question 2

Symptoms of diabetic neuropathy

Answer 2

Asymptomatic
Pain - peripheral (burning, shootin)
Unaware of pain
Loss of sensation peripherally (numb)
Tingling
Unabel to detect changes in temp
Unaware of joint position and therefore cant coordinate movement
Falls, problems working, using hands, muscle twitch and cramps

Question 3

Autonomic symptoms of diabetic neuropathy (later stage)

Answer 3

Constipation/ GI problems
BP - hypotension
Bladder control loss
Irregular heartbeats - palpitations
Faecal incontinence
Anhidrosis, heat intolerance, dry skin, hyperhidrosis
Hypoglycaemia unawareness
Erectile dysfunction/ impotence

Question 4

Risk fro diabetic neuropathy

Answer 4

Over 70
Poorly controlled hyperglycaemia
Prolonged duration of diabetes
Tall stature
Smoking
Overweight
HPTN
Coronary heart disease

Question 5

Investigations for diabetic neuropahty

Answer 5

2 hour plasma glucose
Nerve conduction studies
Electromyography
Quantiative sensory testing

Question 6

What is diabetic amytrophy

Answer 6

Weakness and muscle wasting in thigh and pelvis

Question 7

Management of diabetic neuropathy

Answer 7

Avoid walking barefoot and wear comfotabel well fitted shoes
Good blood sugar control
BP control
Lipid control
Amputation if complications

Question 8

Complciations of neuropahty

Answer 8

burns, injuries, ulcers and infections - increased risk of amputation
including heart disease, kidney disease and diabetic eye problems

Question 9

Types of diabetic neuropathy

Answer 9

Diabetic peripheral neuropathy
Diabetic sensory neuropathy
Diabetic autonomic neuropathy
Diabetic motor neuropathy

Question 10

Cause of diabetic neuropathy

Answer 10

high blood glucose (sugar) levels can damage the small blood vessels that supply the nerves in your body. This stops essential nutrients reaching the nerves. As a result, the nerve fibres can become damaged, and they may disappear.

Question 11

What is charcot foot

Answer 11

Injuries/broken bones cnat feel, continue walking on them -> change shape. Once mishapen affects other joints and greater risk of foot ulcer

Question 12

Symptoms of charcot foot

Answer 12

swelling
warmth – the affected foot feels warmer than the other
change in foot colour
change in foot shape.