Diabetisk nevropati
Sist oppdatert: Sist revidert:
Sist revidert av:Terje Johannessen
Definisjon:
Er nerveskade på grunn av diabetes. Vanligst er distal symmetrisk polynevropati og autonom nevropati
Forekomst:
Prevalens øker med alderen fra 5% tidlig i forløpet til nærmere 50% etter minst 25 år med sykdommen. Noe hyppigere ved type 2 enn ved type 1-diabetes
Symptomer:
Tidlige symptomer kan være nummenhet, stikking, prikking, brennende/verkende smerte eller ømhet på leggene eller i føttene
Funn:
Kan være nedsatt følesans, vibrasjonssans, smerte i føttene
Diagnostikk:
Monofilament-test, vibrasjonssans, ankelrefleks. Ev. nevrografi
Behandling:
God blodsukkerkontroll. Forebygging og behandling av fotsår. Adekvat smertebehandling + tiltak mot andre risikofaktorer
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- Terje Johannessen, professor i allmennmedisin, Trondheim
Tidligere fagmedarbeidere
- Tor Claudi, spesialist i allmennmedisin og indremedisin, Rønvik legesenter, Bodø og NOKLUS-klinikk, Bergen
- Lino Witte, Dr. med., Arzt in Weiterbildung, innere Medizin, Frankfurt, Tyskland (Deximed.de)