Quantitative sensory testing—the use of stimuli to check for neuropathy
Quantitative sudomotor axon reflex test—a test to evaluate the nerve supply of sweat glands
Images may be taken of your bodily structures. This can be done with an
Your nerves may need to be tested. This can be done with a
Treatment may include:
Blood Glucose Management
It is important to regularly monitor blood glucose levels. Meal planning, exercise, and/or medications can help.
Footcare will be needed to avoid
ulcers. The nerves in the feet are the ones most often affected by neuropathy. This care will involve regular visits to a foot doctor and careful cleaning, inspection, moisturizing, and grooming of the feet. In addition, always wear well-fitting shoes and thick, soft, seamless socks to help protect your feet from injuries.
Nerve decompression surgery may be done to reduce pain.
Diabetic neuropathies: the nerve damage of diabetes. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://www.niddk.nih.gov/health-information/health-topics/Diabetes/diabetic-neuropathies-nerve-damage-diabetes/Pages/diabetic-neuropathies-nerve-damage.aspx. Updated November 2013. Accessed September 19, 2017.
Izenberg A, Perkins BA, Bril V. Diabetic neuropathies. Semin Neurol. 2015 Aug;35(4):424-30.
Russell J, Zilliox L. Diabetic neuropathies. Continuum (Minneap Minn). 2014 Oct;20(5 Peripheral Nervous System Disorders):1226-40.
Types of peripheral neuropathy: pre-diabetic/diabetic University of Chicago Center for Peripheral Neuropathy website. Available at: http://peripheralneuropathycenter.uchicago.edu/learnaboutpn/typesofpn/diabetes/diabetes.shtml. Updated May 16, 2010. Accessed September 19, 2017.
2/4/2010 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T115259/Diabetic-peripheral-neuropathy: Dubinsky RM, Miyasaki J. Assessment: efficacy of transcutaneous electric nerve stimulation in the treatment of pain in neurologic disorders (an evidence-based review): report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology. 2010;74(2):173-176.
6/16/2015 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T115259/Diabetic-peripheral-neuropathy: Macaré van Maurik JF, Oomen RT, et al. The effect of lower extremity nerve decompression on health-related quality of life and perception of pain in patients with painful diabetic polyneuropathy: a prospective randomized trial. Diabet Med. 2015;32(6):803-809.
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