Diabetic neuropathy

Question 1

Key factor

Answer 1

Chronic hyperglycaemia

Question 2

Distal Symmetrical Sensory Neuropathy (features)

[…] common
Caused by loss of […] sensory fibres.
Sensory loss in a […] and […] distribution.
Often affecting […], […] and proprioception.

Answer 2

Distal Symmetrical Sensory Neuropathy (features)

Most common
Caused by loss of large sensory fibres.
Sensory loss in a glove and stocking distribution.
Often affecting touch, vibration and proprioception.

Question 3

Small-fibre Predominant Neuropathy (features)

Caused by loss of […] sensory fibres.
Presents with deficits in […] and […] sensation in a […] and […] distribution along with episodes of […] […].

Answer 3

Small-fibre Predominant Neuropathy (features)

Caused by loss of small sensory fibres.
Presents with deficits in pain and temperature sensation in a glove and stocking distribution along with episodes of burning pain.

Question 4

Diabetic Amyotrophy (features)

Caused by inflammation of […] plexus or cervical plexus.
Severe pain around the […] and […].
[…] weakness.

Answer 4

Diabetic Amyotrophy (features)

Caused by inflammation of lumbosacral plexus or cervical plexus.
Severe pain around the thighs and hips.
Proximal weakness.

Question 5

Mononeuritis Multiplex (features)

Invariably painful.
Neuropathies involving =2 peripheral nerves.

Answer 5

Mononeuritis Multiplex (features)
Invariably painful.
Neuropathies involving =2 peripheral nerves.

Question 6

Autonomic Neuropathy (features)

Presents with postural […], […], constipation, urinary […], arrhythmias and […] dysfunction.

Answer 6

Autonomic Neuropathy (features)

Presents with postural hypotension, gastroparesis, constipation, urinary retention, arrhythmias and erectile dysfunction.