Diabetic Neuropathy Theo dõi

Theo dõi

Referral to Specialist  

Atypical features requiring referral to a neurologist include cases where motor neuropathy is greater than the sensory neuropathy, the presence of asymmetry in signs and symptoms, or rapid development and progression of symptoms. Referral to foot care specialists is recommended in patients with moderate to high risk of foot ulceration or amputation or patients who smoke with a history of prior lower extremity complications, LOPS, structural abnormalities (eg bunions, Charcot foot, hammertoes), or PAD. Immediate referral to a foot care specialist is recommended in patients with DM with open ulceration or unexplained swelling, erythema, or increased skin temperature.