Management Neuropathy
Management of diabetic neuropathy.
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Improved sugar control may significantly improve symptoms if the patient presents early. |
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Although many drugs have been tried, no drug shown to be specific for treating diabetic neuropathy. |
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Topical application of Caspian (.025-.075 % strength) may improve superficial pain or discomfort. |
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Severe pain may require the use of carbamazepine, or antidepressants. |
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Muscle pain may be improved by stretching exercise, skeletal muscle relaxants, and use of non steroidal anti-inflammatory agents. |
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Physiotherapy for improvement in gait disturbance due to pain and muscle imbalance. |
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Deformities caused by muscle imbalance must be adequately managed. |
"Burning Feet Syndrome" is difficult to manage;
Associated with
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Usually seen in patients who have been prescribed a severe calories and nutrient restricted diet, or have |
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Significant weight loss, and possibly |
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Those managed with relatively large Oral hypoglycemic agents, especially metformin; |
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Often associated with efforts for rapid sugar control, |
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With episodes of hypoglycemia; |
Relief often possible with high calorie diet, insulin therapy in small doses and weight gain; anti depressants and non steroidal anti-inflammatory agents may also help.
The most important aspect of management of diabetic somatic neuropathy must be prevention of Foot complications.