Diabetesneuropati
Senast uppdaterad: Senast reviderad:
Sakkunnig:Remy Waardenburg
Definition:
Nervskador som senkomplikation till diabetes, oftast i benen.
Förekomst:
Upp till 50 % av personer med diabetes utvecklar diabetesneuropati.
Symtom:
Vanligast är symmetriska smärtor, dysestestier och minskad känsel (hypestesi).
Kliniska fynd:
Nedsatt känsel (monofilament, temperatur, vibrationssinne). Smärta vid beröring.
Diagnostik:
Anamnes och klinisk undersökning är viktigast. I vissa fall kan provtagning och andra undersökningar övervägas.
Behandling:
God metabol kontroll. Smärtbehandling med antidepressiva och antiepileptika i första hand.
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- Simpson DM, Robinson-Papp J, Van J, et al. Capsaicin 8% Patch in Painful Diabetic Peripheral Neuropathy: A Randomized, Double-Blind, Placebo-Controlled Study. J Pain. 2017; 18: 42-53. PMID: 27746370 PubMed
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- Remy Waardenburg, specialist i allmänmedicin, medicinsk redaktör Medibas
Tidigare sakkunniga
- Björn Eliasson, adjungerad professor och överläkare, Diabetescentrum, Sahlgrenska universitetssjukhuset, Göteborg