Diabetic Neuropathy: A Position Statement by the American Diabetes Association (original) (raw)
Table 1-Classification for diabetic neuropathies Diabetic neuropathies A. Diffuse neuropathy DSPN c Primarily small-fiber neuropathy c Primarily large-fiber neuropathy c Mixed small-and large-fiber neuropathy (most common) Autonomic Cardiovascular c Reduced HRV c Resting tachycardia c Orthostatic hypotension c Sudden death (malignant arrhythmia) Gastrointestinal c Diabetic gastroparesis (gastropathy) c Diabetic enteropathy (diarrhea) c Colonic hypomotility (constipation) Urogenital c Diabetic cystopathy (neurogenic bladder) c Erectile dysfunction c Female sexual dysfunction Sudomotor dysfunction c Distal hypohydrosis/anhidrosis, c Gustatory sweating Hypoglycemia unawareness Abnormal pupillary function B. Mononeuropathy (mononeuritis multiplex) (atypical forms) Isolated cranial or peripheral nerve (e.g., CN III, ulnar, median, femoral, peroneal) Mononeuritis multiplex (if confluent may resemble polyneuropathy) C. Radiculopathy or polyradiculopathy (atypical forms) Radiculoplexus neuropathy (a.k.a. lumbosacral polyradiculopathy, proximal motor amyotrophy) Thoracic radiculopathy Nondiabetic neuropathies common in diabetes Pressure palsies Chronic inflammatory demyelinating polyneuropathy Radiculoplexus neuropathy Acute painful small-fiber neuropathies (treatment-induced) care.diabetesjournals.org Pop-Busui and Associates 137 Exercise intolerance Constipation c May alternate with explosive diarrhea care.diabetesjournals.org Pop-Busui and Associates 145
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