Diabetic neuropathy

• What are some symptoms that may suggest diabetic neuropathy?

  Glove and stocking distribution pain/sensory loss
• What are some GI signs of diabetic neuropathy?

  Chronic diarrhoea

  Gastroparesis (secondary to autonomic neuropathy)
• What are some symptoms of gastroparesis secondary to autonomic neuropathy in diabetic neuropathy and what is it managed with?

  What:

  • Erratic blood glucose control
  • Bloating
  • Vomiting

  Management:

  • Erythromycin
  • Metoclopramide
  • Domperidone
• Where is affected first in diabetic neuropathy?

  Lower legs
• How is diabetic neuropathy managed?

  Glycaemic control

  Neuropathic painkillers

  Tramadol (rescue therapy in exacerbation)

  Topical capsaicin (localised neuropathic pain)
• What suggests syringomyelia neuropathy rather than diabetic?

  Cape like loss of pain and temp sensation