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Perkins BA, Bril V. Diagnosis and management of diabetic neuropathy. Curr Diab Rep. 2002;2(6):495-500doi: 10.1007/s11892-002-0119-x.
Perkins, B. A., & Bril, V. (2002). Diagnosis and management of diabetic neuropathy. Current diabetes reports, 2(6), 495-500. https://doi.org/10.1007/s11892-002-0119-x
Perkins, Bruce A, and Bril, Vera. "Diagnosis and management of diabetic neuropathy." Current diabetes reports vol. 2,6 (2002): 495-500. doi: https://doi.org/10.1007/s11892-002-0119-x
Perkins BA, Bril V. Diagnosis and management of diabetic neuropathy. Curr Diab Rep. 2002 Dec;2(6):495-500. doi: 10.1007/s11892-002-0119-x. PMID: 12643156.
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Curr Diab Rep. 2002 Dec;2(6):495-500. doi: 10.1007/s11892-002-0119-x.

Diagnosis and management of diabetic neuropathy.

Current diabetes reports

Bruce A Perkins, Vera Bril

Affiliations

  1. Toronto General Hospital, University Health Network, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada.

PMID: 12643156 DOI: 10.1007/s11892-002-0119-x

Abstract

Diabetic sensorimotor polyneuropathy (DSP) remains the most common microvascular complication of both type I and type 2 diabetes, and poses a unique set of management challenges in the prevention of foot complications. Although different quantitative tests are available, the preliminary diagnosis of DSP can be reliably made using simple and rapid screening tests in the family physician's office or in the diabetes clinic. The Semmes-Weinstein 10-g monofilament examination is a popular, simple clinical modality for the prediction of early DSP, foot ulceration, and amputation, and, in turn, a predictor of mortality in patients with diabetes. The management of DSP is centered on optimal glycemic control, diligent foot care, and pain control as a means of preventing the progression of DSP and reducing the morbidity associated with foot complications.

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