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Guidelines for Diagnosing Diabetic Polyneuropathy: What You Need to Know
Published: Apr 20, 2024
Diabetic polyneuropathy is a common complication of diabetes that can lead to significant health issues if not diagnosed early.
Understanding the Diagnostic Criteria
Diagnosis is based on clinical findings, including typical symptoms like numbness and pain, and signs like sensory loss. A thorough examination can reveal these signs even if symptoms are absent. It's a diagnosis of exclusion, ruling out other causes of neuropathy.
Recommended Screening Practices
The American Diabetes Association advises screening at diagnosis for type 2 diabetes and five years after for type 1. This includes checking nerve function through tests like vibration and pinprick sensation. Early detection can prevent serious complications.
Diagnostic Testing
Routine testing includes a complete blood count and vitamin B12 levels to rule out other causes. More advanced tests like electrodiagnostic studies are reserved for atypical presentations. These steps ensure accurate diagnosis and appropriate treatment.
Frequently Asked Questions
Numbness, tingling, and sensory loss are key symptoms.
Annually, especially for those without symptoms.
The ADA provides guidelines for screening and diagnosis.
It's needed for atypical presentations.
Key Takeaways
Following guidelines ensures early diagnosis and better management of diabetic polyneuropathy.
References
- Pop-Busui R, Boulton AJ, Feldman EL, et al. Diabetic Neuropathy: A Position Statement by the American Diabetes Association. Diabetes Care 2017; 40:136.
- Dyck PJ, Kratz KM, Lehman KA, et al. The Rochester Diabetic Neuropathy Study: design, criteria for types of neuropathy, selection bias, and reproducibility of neuropathic tests. Neurology 1991; 41:799.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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