PREVALENCE
  • 16% of patients at the time of diagnosis of diabetes suffer from Neuropathy
  • Presence of Diabetes is CAD equivalent
  • Every second patient of renal transplant is diabetic
  • After 10 years duration of diabetes
    • 61% of patients have Diabetic neuropathy
    • 36% patients have Diabetic Nephropathy
    • 32% patients have Diabetic Retinopathy
PREVENTIVE MEASURES:
  • Tight sugar control
    • Proper diet
    • Regular exercise
    • Regular sugar check ups
    • Titrate dose of oral anti-diabetic agents
    • Early Insulin initiation
  • Monitor for complications
    • Lipid profile every 3 monthly
    • Urine for Micro-albumin
    • FUNDUS for retinopathy
    • Biothesiometry
    • Ankle brachial Index
  • Drugs for primary prevention of complications
    • Asprin
    • Statins
    • Epalrestat : Aldose reductase inhibitor
  • Preventive foot care

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