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Chun and Ko: Summary of the Update to the Diabetic Neuropathy Management Guidebook
Statement
The Journal of Korean Diabetes

The Journal of Korean Diabetes 2012; 13(3): 115-123.

Published online: 30 September 2012

DOI: https://doi.org/10.4093/jkd.2012.13.3.115

Summary of the Update to the Diabetic Neuropathy Management Guidebook

Sung Wan Chun1, Kyung Soo Ko2

1Division of Endocrinology and Metabolism, Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.

2Division of Endocrinology and Metabolism, Department of Internal Medicine, Inje University Sanggyepaik Hospital, Seoul, Korea.

Corresponding author (kskomd@paik.ac.kr)

Copyright © 2012 Korean Diabetes Association

Abstract

The Korean Diabetes Association (KDA) published the 3rd edition of the diabetic neuropathy management guidebook in 2010. This publication has been recognized as the definitive guide for the clinical management of diabetic neuropathy in the Korean medical system. In this report, we provide a modified summary of the 3rd edition of the diabetic neuropathy management guidebook. We hope this summary will serve as a helpful reference in the daily clinical practice of diabetes care.

Keywords: Diabetic neuropathies, Peripheral nervous system diseases, Autonomic neuropathy

Figures and Tables

Fig. 1
Summary of diabetic neuropathy management. BP, blood pressure; CI, contraindication; DPN, diabetic peripheral neuropathy; DPNP, diabetic peripheral neuropathic pain; HR, heart rate; MNSI, Michigan neuropathy screening instrument; SNRI, serotonin noradrenaline reuptake inhibitor; T1D, type 1 diabetes; T2D, type 2 diabetes; TCA, tricyclic antidepressant; Tx, treatment. Adapted from Expert Committee of Korean Diabetes Neuropathy Study Group. Diabetic neuropathy management guidebook 2010 [1].
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Fig. 2
Screening test for diabetic peripheral neuropathy. (A) 10 g monofilament test. (B) Vibration test with 128 Hz tuning fork. Adapted from Expert Committee of Korean Diabetes Neuropathy Study Group. Diabetic neuropathy management guidebook 2010 [1].
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Table 1
Classification of diabetic neuropathy
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Adapted from Boulton et al. Diabetes Care 2005;28;956-62 [2].

Table 2
Comparison of neuropathic and ischemic pain
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Adapted from Expert Committee of Korean Diabetes Neuropathy Study Group. Diabetic neuropathy management guidebook 2010 [1].

References

1. Expert Committee of Korean Diabetes Neuropathy Study Group. Diabetic neuropathy management guidebook. 2010. 3rd ed. Seoul: Gold Planning and Development.
2. Boulton AJ, Vinik AI, Arezzo JC, Bril V, Feldman EL, Freeman R, Malik RA, Maser RE, Sosenko JM, Ziegler D. American Diabetes Association. Diabetic neuropathies: a statement by the American Diabetes Association. Diabetes Care. 2005. 28:956–962.
3. American Diabetes Association. Standards of medical care in diabetes-2012. Diabetes Care. 2012. 35:Suppl 1. S11–S63.
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