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Treatment for Diabetic neuropathy
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Treatment for Diabetic neuropathy
Treating diabetic neuropathy includes the following.
Preventive Treatment
This is the best option for treating neuropathies. The most important step is maintaining blood glucose levels within normal limits.1 Patients suffering with diabetes should take care of foot, footwears, protect hyposensitive points and pressure points to prevent ulcers and bone infections. Specialized foot clinics are helpful in treating and preventing diabetic foot ulcers.2
Symptom Management
In proximal diabetic neuropathy, truncal neuropathy and focal neuropathy, the disease is self-limited with good recovery rate. The pain is caused is very severe. Medications like carbamazepine, phenytoin, clonazepam, or paracetamol in combination with codeine phosphate are useful. Tricyclic antidepressants are also very effective. Drugs like duloxetine and pregabalin are also very helpful.

Disease Modifying
Proximal diabetic neuropathy is quite painful and is resistant to conventional or conservative methods of treatment. In such cases, prescribing corticosteroids seems helpful, along with controlling the blood glucose levels.3


Written by: Healthplus24 team
Date: July 28,2009

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References 
 
  1. Martin CL, Albers J, Herman WH. Neuropathy among the Diabetes Control and Complications Trial Cohort 8 years after trial completion. Diabetes Care. 2006; 29: 340–344.
  2. Giurini JM, Rosenblum BI, Lyons TE: Management of the diabetic foot. In The Clinical Management of the Diabetic Foot. Veves A, Ed. Totowa, NJ, Humana Press, 1998, p.303 -318.
  3. Said G, Lacroix C, Lozeron P, et al. Inflammatory vasculopathy in multifocal diabetic neuropathy. Brain. 2003; 126: 376–385.
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