A set of guidelines for the
treatment of diabetic peripheral neuropathic pain (DPNP) has been published by Mayo Clinic Proceedings. The
guidelines were written by the American Society of Pain Educators. They give medical professionals the first definitive
and consistent strategy for helping diabetics to manage diabetes-related pain. It is estimated that around one million
diabetics suffer from chronic severe DPNP. Up until now, the condition has been under-diagnosed and under-treated. The
new guidelines rank medications according to their effectiveness at treating DPNP. The most effective are termed
first-tier and include duloxetine, oxycodone controlled-release, pregabalin and all tricyclic antidepressants. The
guidelines have been published as a continuing medical education (CME) supplement to Mayo Clinic Proceedings,
April 2006. Go to: www.mayoclinicproceedings.com.Note: The contents of this blog are for informational purposes only and should not be construed as medical advice or substitute for professional care. For medical emergencies, dial 911!
Guidelines developed for diabetes-related pain
A set of guidelines for the
treatment of diabetic peripheral neuropathic pain (DPNP) has been published by Mayo Clinic Proceedings. The
guidelines were written by the American Society of Pain Educators. They give medical professionals the first definitive
and consistent strategy for helping diabetics to manage diabetes-related pain. It is estimated that around one million
diabetics suffer from chronic severe DPNP. Up until now, the condition has been under-diagnosed and under-treated. The
new guidelines rank medications according to their effectiveness at treating DPNP. The most effective are termed
first-tier and include duloxetine, oxycodone controlled-release, pregabalin and all tricyclic antidepressants. The
guidelines have been published as a continuing medical education (CME) supplement to Mayo Clinic Proceedings,
April 2006. Go to: www.mayoclinicproceedings.com.Reader Comments
(Page 1)2. I was diagnosed with Type 2 less than a year ago. This doesn't mean that I've only had it for a year. I strongly believe that I've had it for many years; maybe as much as 20 years. Is this possible? I am in constant pain. My shoulder hurts very bad. Everywhere else is not so bad, but it is always there. I would like to exercise but just can't. 48 years old. Ran a marathon 6 years ago. Now my life is a shambles. Help me.
Posted at 5:28AM on Apr 16th 2006 by Timothy McKim
3. Tim, Have you been tested for diabetic Neuropathy yet? I have had it since 1990 but on shots since 1996. I have had so many aches and pains, legs, arm's, hands. After telling my Dr. at the time at least 5 times he says I need to be tested. After 3 weeks of waiting, we had the answers. I have sever Neuropathy in my arms and a minor case in my legs.
It may not cure the pain but at least you can understand a little better. I have had several medications since then and finally found one that helps. I could not sleep I hurt so bad, and my Dr. said not sleeping will cause you to hurt more durning the day. Pain brings on stress and stress brings on the pain. Find yourself a good Dr. and asked to be tested. Good luck and If I can be of any help please let me know. It always helps to talk to aomeone who can understand how bad it really is.
Posted at 1:18PM on Apr 26th 2006 by Cathy Hobbs
4. Tim: Insulin dependent diabetic for 35 years. This disease is never forgiving, however you can adjust and live as close to a normal life as possible. You need to consult with an internist or endrocronoligist regarding the pain. It is probably linked to an old injury that has been adversely affected due to the consequences of somewhat reduced blood flow.
Posted at 7:43PM on May 9th 2006 by Mike Morrissette
1. Interesting. Thanks for information
Posted at 11:32AM on Apr 5th 2006 by George