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Diabetisk nevropati

Sist revidert:
Sist revidert av:
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)