Diabetic Polyneuropathy

Symmetric polyneuropathy

• Distal sensory or sensorimotor

Mononeuropathy, radiculopathy, and polyradiculopathy

• C...

Most common form (typical): symmetric distal sensory or sensorimotor polyneuropathy

• Distressing numbness, tingling, pain of legs/feet, usually worse at night; allodynia; hyperalgesia

• Of...

Maintain blood glucose control.

Provide appropriate footwear to prevent pressure damage to insensate feet.

Generalized symmetric polyneuropathies

• Usually slow, chronic progression

• Insensitive but painless foot as pain lessens

Focal neuropathies

• Recovery over months to years

Cl...

Jensen TS, Karlsson P, Gylfadottir SS, et al. Painful and non-painful diabetic neuropathy, diagnostic challenges and implications for future management. Brain. 2021;144:1...

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

E08.42 Diabe...

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...