1. Diabetic sensory neuropathy
The classic diabetic neuropathy is sensory neuropathy. This causes a distal numbness ('glove and stocking') with tingling and pain.
- 1st line: TCA
- 2nd line: gabapentin, pregabalin
2. Diabetic amyotrophy
Diabetic amyotrophy is sometimes known as proximal diabetic neuropathy. This causes painful wasting of the quadriceps. It is thought to be caused by occlusion of the vasa nervorum of the proximal lumbar plexus. There is loss of the knee reflexes.
3. Autonomic neuropathy
If you need a recap refer back to revision battle 32.7
4. Mononeuritis multiplex
Particularly of CN III and VI.
Next up... a bit of nystagmus...