Fast Five Quiz: How Well Do You Know the Risk Factors and Treatment Indications for Type 2 Diabetes Mellitus?

Romesh Khardori, MD, PhD

Disclosures

April 25, 2017

Peripheral neuropathy is the most common complication observed in patients with type 2 diabetes in outpatient clinics. Patients may have paresthesias, numbness, or pain. The feet are involved more often than the hands.

Improved glycemic control early may alleviate some of the symptoms, although sometimes symptoms actually worsen with lowering of blood glucose levels. Later symptomatic therapy largely is empirical and may include the following:

  • Low-dose tricyclic antidepressants

  • Duloxetine

  • Anticonvulsants (eg, phenytoin, gabapentin, carbamazepine)

  • Topical capsaicin

  • Various pain medications, including nonsteroidal anti-inflammatory drugs

For more on the complications of type 2 diabetes mellitus, read here.

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