Diabetic Neuropathy
Not yet clinically reviewed
This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.
Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. High blood sugar (glucose) can injure nerves throughout the body. Diabetic neuropathy most often damages nerves in the legs and feet.
Depending on the affected nerves, diabetic neuropathy symptoms include pain and numbness in the legs, feet and hands. It can also cause problems with the digestive system, urinary tract, blood vessels and heart. Some people have mild symptoms. But for others, diabetic neuropathy can be quite painful and disabling.
Diabetic neuropathy is a serious diabetes complication that may affect as many as 50% of people with diabetes. But you can often prevent diabetic neuropathy or slow its progress with consistent blood sugar management and a healthy lifestyle.
Management
- Advice low salt and low protein diet
- Control blood sugar and exercise regularly
- Tab- Naproxen OR Tab- Ibuprofen (for painful Neuropathy)
- Tab - Amitryptaline (Amyline / Amitryp) 25-100mg, 1 tab PO X OD at bed time ' OR ' Tab- Sertraline (Freedep) 50-100mg, 1 tab PO x OD at bed time ' OR '
- Tab - Imipramine (Tofranil) 25-75mg, 1 tab PO x OD at bed time
- Tab- Metoclopramide (Maxolon) 1 tab PO x TDS (for gastroparesis)
- Cap- Rekomycin / Tetracycline 250- 500, 1 tab PO x TDS (for Nocturnal diarrhea)
- Tab Gabapentin (Neogab/Vaniqa) 300mg 1tab OD on day 1st then 1tab PO BD 2,1tab PO TDS on day 3, further 900mg/day in 3 divided doses
- Tab Multivitamins (Optilets-M) 1tab x PO OD