Distal sensory or sensorimotor
Mononeuropathy, radiculopathy, and polyradiculopa...
Most common form (typical): symmetric distal sensory or sensorimotor polyneuropathy
Distressing numbness, tingling, pain of legs/feet, usually worse at night; allodynia; hyperalgesia
Maintain blood glucose close to normal.
Provide appropriate footwear to prevent pressure damage to insensate feet.
Generalized symmetric polyneuropathies
Usually slow, chronic progression
Insensitive but painless foot as pain lessens
Recovery over months to years
Cooper TE, Chen J, Wiffen PJ, et al. Morphine for chronic neuropathic pain in adults. Cochrane Database Syst Rev. 2017;(5):CD011669. [View Abstract on OvidMedline]
E10.42 Type 1 diabetes mellitus with diabetic polyneuropathy
E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy
E13.42 Oth diabetes mellitus with diabetic polyneuropathy
Occasionally, when glycemic control improves dramatically, as can occur when treatment for diabetes is initiated, there may be a worsening of neuropathy symptoms (described as treatmen...
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