Diabetic Neuropathy: New Recommendations for Primary Care
Diabetic neuropathies are the most prevalent chronic complications of diabetes—and they are often devastating for the patient. Estimates of the incidence and prevalence of diabetic neuropathies vary greatly, but several large observational cohorts and other studies suggest that they occur in at least 20% of people with type 1 diabetes after 20 years of disease. Distal symmetrical polyneuropathy (DSPN) may affect at least 10%-15% of patients with newly diagnosed type 2 diabetes, with rates increasing to 50% after 10 years of disease.
The American Diabetes Association recently released a new position statement on diabetic neuropathy. Medscape spoke with the lead author, Rodica Pop-Busui, MD, PhD, about how these recommendations can assist primary care providers (PCPs) in the prevention, early recognition, and appropriate management of neuropathies in patients with diabetes.
Medscape: What types of diabetic neuropathy should PCPs be aware of, and how common are they?