1. Diabetic Neuropathy Jesse Mohoric Sarah Davis

2. What is it? Diabetic Neuropathy is a nerve disorder which is found in patients who have diabetes Damage to nerves in Peripheral Nervous Systems

3. Stats 60-70% of patients who have diabetes also has neuropathy 11-32% of patients with Diabetic Neuropathy experience painful symptoms

4. More Specifically Different Types –Diffuse Peripheral Neuropathy –Diffuse Autonomic Neuropathy –Localized Peripheral Neuropathy

5. Causes Exact cause is unknown Theories behind Neuropathy –High Glucose Concentration Chemical changes in nerves Damaged blood vessels –Genetic Disposition

6. Symptoms Depends on part of body being affected. Diffuse Peripheral –Pain –Numbness and tingling in the limbs –Sensitivity to touch –More susceptible to feet injury and infections –Loss of Balance and Control –Loss of sensation Diffuse Autonomic –Bladder infections –Stomach disorders –dizziness

7. Symptoms Continued Localized neuropathy –Pain in front of thigh, lower back, chest stomach and behind eyes –Double vision –Paralysis of one side of the face

8. How to Diagnose Based upon symptoms –Pain Assessment –Screening Test for lost sensation –Nerve Conduction Study –Electromyography –Ultrasound –Nerve Biopsy (extreme cases)

9. Doctors who see Diabetic Neuropathy General Physician NeurologistUrologistGastroenterologistPodiatrists

10. Risk Factors Diabetes especially with Hyperglycemia Length of time with Diabetes Cigarette Smoking Alcohol Height- Taller is worse

11. Treatment Treat symptoms and not neuropathy Manage your glucose levels Drug Therapy can be used but is not suggested Pain Medication Early treatment more successful and reversing damage. Later stages of neuropathy irreversible.

12. How to Maintain a Healthy Lifestyle Manage Diabetes Don’t Drink Alcohol Avoid Cigarettes Check your feet regularly

13. Sources of Information Duby, J.J., Campbell, R.K., Setter, S.M., White, J.R., & Rasmussen, K.A. (2004). Diabetic neuropathy: An intensive review. American Journal of Health-System Pharmacists. 61, 160-173. Huizinga,M.M., & Peltier, A. (2007). Painful Diabetic Neuropathy: A Management-Centered Review. Clinical Diabetes. 21, 6-15. Longe, J.L. (Ed.). (2002). The gale encyclopedia of medicine. Farmington Hills, MI: Gale Group. Wong, M., Chung, J.W.Y., & Wong, T.K.S. (2007). Effects of treatments for symptoms of painful diabetic neuropathy: systematic review. BMJ. 87, 335-45.

14. Sources of Picture http://www.european- hospital.com/topics/article/2523.html www.rdehospital.nhs.uk/.../neuropathy.jpg http://www.mamc.amedd.army.mil/referral/image s/neuropathic_ulcer_3x4.jpg http://www.covhealth.com/docs/ultrasound%20m achine.jpg http://www.bjmc.net/images/neuropathy.gif http://www.recipeland.com/ara/media/item/2540.j pg