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The British Journal of Diabetes & Vascular Disease
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Diabetic neuropathy: achieving best practice

Solomon Tesfaye

Tesfaye Diabetes Research Unit, Royal Hallamshire Hospital, Sheffield, S10 2JF, UK, Solomon.Tesfaye{at}sth.nhs.uk

Peripheral neuropathy is one of the commonest complications of diabetes and the commonest form of neuropathy in the developed world.1 Diabetic polyneuropathy encompasses several neuropathic syndromes, and the commonest presentation is chronic distal symmetrical neuropathy (DSP). DSP, often associated with autonomic neuropathy, has two clinical consequences: namely neuropathic pain and foot ulceration. Both often occur in the same individual, and cause severe curtailment of quality of life. The other, less common presentations of diabetic polyneuropathy include acute painful neuropathies, and focal neuropathies (amyotrophy, pressure palsies, truncal radiculopathies, mononeuropathies and mononeuritis multiplex).2 Table 1 shows a recent classification of diabetic polyneuropathy based upon the natural history of the various syndromes.3

Key Words: diabetic neuropathy • diabetes • neuropathy • peripheral neuropathy • painful neuropathy • diabetic foot.

The British Journal of Diabetes & Vascular Disease, Vol. 3, No. 2, 112-117 (2003)
DOI: 10.1177/14746514030030020601
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D. T Williams, P. Price, and K. G Harding
Review: The clinical evaluation of lower limb perfusion in diabetic foot disease
The British Journal of Diabetes & Vascular Disease, November 1, 2003; 3(6): 394 - 398.
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