Monday, December 30, 2019

The Common Long Term Complications Of Diabetes Mellitus

One of the most common long-term complications of diabetes mellitus is painful neuropathy. Diabetic neuropathy is estimated to affect about 60-70% of all diabetes patients and can lead to foot ulcers, amputations, and decreased quality of life. The most common form is chronic peripheral neuropathy which results in pain and numbness in the extremities, usually described as a burning, tingling, or steady aching pain.1 Patients may also feel increased sensitivity to pain or experience paresthesia, a sensation of tingling, tickling, or prickling of the skin.1 According to current guidelines, intensive glycemic control is very important for the prevention and reduction of peripheral neuropathy and other microvascular complications.1,2 Medications used to help relieve nerve pain include duloxetine and pregabalin (Lyrica ®), which are both approved by the U.S. Food and Drug Administration for use in diabetic neuropathy. Other drug classes commonly used are antidepressants, anticonvulsants , and opioids.3 Although there are many medications used for this condition, pain relief is often insufficient for patients. Treatment is difficult due to the complicated pathophysiology of pain transmission and the wide range of mechanisms of action of drugs used to treat pain. Therefore, there is a continued need for additional medication options for this chronic painful condition. Lacosamide is an anticonvulsant approved for use as monotherapy or adjunctive therapy for partial-onset seizures.Show MoreRelatedDiabetes Mellitus As A Disability1555 Words   |  7 PagesThe amount of patients being diagnosed with Diabetes Mellitus has sky-rocketed these past few years. ‘†In 2010 the figures were 25.8 million and 8.3%†Ã¢â‚¬  and has increased in ‘†2012 to 29.1 million Americans, or 9.3%.†(American Diabetes Association, 2014); it is seen nationwide, and has now even begun to affect our youth. 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