3. Diabetic Neuropathies

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Diabetic somatic neuropathies.

SECTION 1: INTRODUCTION — The neuropathies are among the most common of the long-term complications of diabetes, affecting up to 50% of patients (1–4). Their clinical features vary immensely, and patients may present to a wide spectrum of specialties, from dermatology to podiatry, for example, or from urology to cardiology. Neuropathies are characterized by a progressive loss of nerve fibers, w...

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Focal and multifocal diabetic neuropathies.

Diabetic neuropathy is the most common neuropathy in industrialized countries, with a remarkable range of clinical manifestations. The vast majority of the patients with clinical diabetic neuropathy have a distal symmetrical form that progress following a fiber-length dependent pattern, with predominant sensory and autonomic manifestations. This pattern of neuropathy is associated with a progre...

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Diabetic neuropathies: diagnosis and management.

INTRODUCTION Changes in human behaviour and lifestyle over the last century have resulted in a dramatic increase in the incidence of diabetes worldwide. Neuropathy is a common and costly complication of both type 1 and type 2 diabetes. The prevalence of neuropathy is estimated to be about 8% in newly diagnosed patients and greater than 50% in patients with long-standing disease. There are two m...

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The diabetic neuropathies: practical and rational therapy.

Diabetes is associated with a variety of chronic and acute neuropathies. In this article, the authors summarize the clinical features of the most common diabetic neuropathies, focusing on those for which therapy is available or under active investigation. Distal symmetric polyneuropathy (DSP) is the most common form. Potential treatments for DSP are discussed in four broad themes: (1) medicatio...

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Clinical management of the painful diabetic neuropathies.

340 Journal of the Royal College of Physicians of London Vol. 34 No. 4 July/August 2000 The neuropathies of diabetes are common, affecting up to 50% of older patients with type 2 diabetes. They have been the subject of several recent reviews1–3. Only a minority of patients experience neuropathic symptoms, so the absence of symptoms must never be equated with the absence of neuropathy1–3. A care...

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ژورنال

عنوان ژورنال: Nihon Naika Gakkai Zasshi

سال: 2009

ISSN: 0021-5384,1883-2083

DOI: 10.2169/naika.98.779