Recent Advances in Diagnostic Strategies for Diabetic Peripheral Neuropathy.
10.3803/EnM.2016.31.2.230
- Author:
Jong Chul WON
1
;
Tae Sun PARK
Author Information
1. Department of Internal Medicine, Cardiovascular and Metabolic Disease Center, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. drwonjc@gmail.com
- Publication Type:Review
- Keywords:
Diabetic neuropathies;
Early diagnosis;
Evaluation studies as topic;
Electrophysiology
- MeSH:
Amputation;
Comorbidity;
Diabetic Foot;
Diabetic Neuropathies;
Diagnostic Tests, Routine;
Early Diagnosis;
Electrophysiology;
Evaluation Studies as Topic;
Follow-Up Studies;
Humans;
Korea;
Natural History;
Neural Conduction;
Peripheral Nervous System Diseases*;
Prognosis;
Ulcer
- From:Endocrinology and Metabolism
2016;31(2):230-238
- CountryRepublic of Korea
- Language:English
-
Abstract:
Diabetes is an increasing epidemic in Korea, and associated diabetic peripheral neuropathy (DPN) is its most common and disabling complication. DPN has an insidious onset and heterogeneous clinical manifestations, making it difficult to detect high-risk patients of DPN. Early diagnosis is recommended and is the key factor for a better prognosis and preventing diabetic foot ulcers, amputation, or disability. However, diagnostic tests for DPN are not clearly established because of the various pathophysiology developing from the nerve injury to clinical manifestations, differences in mechanisms according to the type of diabetes, comorbidities, and the unclear natural history of DPN. Therefore, DPN remains a challenge for physicians to screen, diagnose, follow up, and evaluate for treatment response. In this review, diagnosing DPN using various methods to assess clinical symptoms and/or signs, sensorineural impairment, and nerve conduction studies will be discussed. Clinicians should rely on established modalities and utilize current available testing as complementary to specific clinical situations.
