Neuropathy & Pain

Metformin + H2RA and/or PPI = a recipe for neuropathy… An increased BMI is commonly seen in patients with T2D and/or GERD. Metformin is often the first line of therapy for patients with T2D, while H2RA and PPIs are commonly prescribed for patients with GERD. All three agents have been …

Some positive effects seen but no decrease in pain intensity was observed…. A common complication of diabetes is painful diabetic peripheral neuropathy (P-DPN). Current standard of care for patients with P-DPN involves pharmacological interventions that are limited by their potential adverse side effects. Numerous drugs are still being developed and …

Diabetic peripheral neuropathy can have an effect on balance… Previous studies show that patients with diabetic peripheral neuropathy (DPN) have an altered gait strategy and a fivefold increased risk of falling. Falling is a major health risk, especially with disease progression and in the elderly. Diabetic patients with peripheral neuropathy …

Corneal confocal microscopy (CCM) can predict incipient peripheral neuropathy in patients with type 1 diabetes… The technique involves the examination of unmyelinated nerve fibers at high magnification using a laser-scanning corneal confocal microscope to image the subbasal nerve plexus of the patient’s cornea. Increased severity of diabetic peripheral neuropathy is …

Dr. Aaron Vinik discusses a very simple and quick device that can effectively detect neuropathy but also comments that it’s success is tied in to many other factors….

Dr. Aaron Vinik, a world-reknowned expert on diabetic neuropathy, talks about the issue of “numb feet” and how this early sympton of diabetes often ends up in a patient being sent to a podiatrist rather than getting care for diabetes. He also reveals some of the exciting new medications and …

Rudy Bilous, MD, FRCP Richard Donnelly, MD, PHD, FRCP, FRACP Symptoms, signs and classification Diabetes is one of the most common causes of peripheral neuropathy, a term that encompasses a heterogeneous group of disorders (Figure 17.1). In population-based surveys, up to one-third of patients with diabetes have evidence of peripheral neuropathy but …

Patients with diabetic peripheral neuropathy (DPN) are more likely to experience a fall during stair walking….  Diabetic peripheral neuropathy has been shown in previous studies to cause postural sway during standing and walking on level ground in diabetic patients but no data is available regarding the effect of DPN on …

A clinical trial showed that SCS provided pain relief in patients with PDPN…. 

A randomized controlled trial indicates that a vegan diet may be beneficial in relieving diabetic nerve pain….