Treatment

Halki Diabetes Remedy

Natural Solution for Diabetes

Get Instant Access

This is difficult, but above all, the promise that the symptoms always eventually remit may sustain patients during the wretched months of their illness. It sometimes helps for them to meet a patient who has already recovered from neuropathic pain. Diabetic control should be optimal, and insulin should be given if necessary. Initially, simple analgesics such as paracetamol taken regularly should be tried. Tricyclic antidepressants have a specific effect in the management of neuropathic pain and are valuable in this condition: a useful combination is a preparation containing a phenothiazine (fluphenazine) with nortryptiline (Motival). Gabapentin is effective and carbamazepine may help. Capsaicin cream may have a small effect after itself causing some initial discomfort. Topiramate may be used for limited periods in those with severe and protracted pain. Drugs of addiction should be avoided although just occasionally and for a short period an opioid derivative can be used at bedtime to help distressed patients to sleep.

Application of Opsite (a thin adhesive film) can help alleviate contact discomfort. Electrical nerve stimulators applied to the site of pain may help, and patients can then take an active part in their treatment.

wMBmmrn^/

Diabetic radiculopathy area of exquisite contact sensitivity can easily and reproducibly be traced with a finger—shown in red

Diabetic radiculopathy area of exquisite contact sensitivity can easily and reproducibly be traced with a finger—shown in red

Bulging of the abdominal wall in a patient with truncal radiculopathy

i

0

ht

4

s

C:

^

8

^ Q

12

16

20

24

28

32

Normal weight 85kg

Neuritic episode

Moderate symptoms

Residual symptoms

Severe

symptoms

1 1 Insulin

1 1 Diet and oral hypoglycaemic agents

Months

Progression of acute painful neuropathy

Was this article helpful?

0 0
Diabetes Sustenance

Diabetes Sustenance

Get All The Support And Guidance You Need To Be A Success At Dealing With Diabetes The Healthy Way. This Book Is One Of The Most Valuable Resources In The World When It Comes To Learning How Nutritional Supplements Can Control Sugar Levels.

Get My Free Ebook


Post a comment