Diabetes mellitus and sexual dysfunction
2007
Diabetic neuropathy (DN) occurs in 50% of people living with diabetes
mellitus (DM), and is the most significant cause of foot ulcers in this
population. Although most people with DN will not experience pain, a
significant number do, adversely affecting mood, sleep, self-esteem, and
quality of life measures, and compromising activities of daily living.
There is little consensus regarding the pathophysiologic etiologies of
pain, the best diagnostic tools to adequately evaluate patients, and
optimal treatment choices to be considered. The numbers of patients
suffering with diabetic peripheral neuropathic pain is likely to increase
given the current worldwide exponential growth in incidence of
diabetes and the increase in life expectancies for diabetic individuals.
This chapter addresses the core concepts and evaluation strategies
regarding DN and neuropathic pain.
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