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Painful diabetic neuropathy — current understanding and management for the primary care team
Mike Kirby
The Surgery, Nevells Road, Letchworth, SG6 4TS, UK, kirbym{at}globalnet.co.uk
Primary care has an increasing role in the diagnosis and treatment of painful diabetic neuropathy (PDN), and early accurate diagnosis and intervention can greatly improve the prognosis. With the incidence of diabetes predicted to increase dramatically, the number of patients with PDN is set to soar. PDN can have a serious impact on quality of life, leading to severe depression and even suicide. The evolution of a schematic approach to the diagnosis and treatment of PDN can offer new hope to many patients. This review focuses on PDN and current treatment strategies. Many leading pain clinics have adopted a multidisciplinary approach to the pharmacological and non-pharmacological management of PDN.
Key Words: painful diabetic neuropathy primary health care team management.
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The British Journal of Diabetes & Vascular Disease, Vol. 3, No. 2,
138-144 (2003)
DOI: 10.1177/14746514030030021001

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