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Blog posts tagged with 'diabetes'

Diabetic Peripheral Neuropathy  - patient examination guidelines for practitioners (part 2)
Diabetic Peripheral Neuropathy - patient examination guidelines for practitioners (part 2)

Part 2 - Examination guidelines for physicians and midlevel providers

Objectives

InĀ part 1 of this three-part blog on the treatment of patients with diabetic peripheral neuropathy (DPN) we discussed the economic impact of diabetic peripheral neuropathy, the pathophysiology of DPN and staging of DP...

Pulling out of the tailspin

I still see both Janet and Sharon as patients. The two have had dramatically different outcomes, one pulling out of the tailspin and the other crashing.

What causes the tailspin?

We're talking about our two patients, Janet and Sharon who are at a turning point in their lives. That turning point is called the tail spin. The tail spin is where they make poor health care choices that result in a loss of their vitality and health. Let's take a look at the similarities and differences between their cases.

The tailspin

After being in practice for thirty years you start to pick up on trends in your practice. You start to realize subsets of patients who have similar problems or challenges and share similar outcomes. Any good doctor is going to try to help these patients do better, be more and live a long and product lives. One of the most challenging subsets of patients that I see are a group of folks who come to me for foot pain, but the foot pain is just the tip of the iceberg.

Using carbon graphite spring plates to treat diabetic ulcerations

Diabetes is renown as the primary disease that contributes to a loss of sensation in the feet. This loss of sensation is called diabetic peripheral neuropathy, abbreviated DPN. DPN is a symmetrical loss of sensation often described as a stocking/glove distribution, affected the feet and to a lesser degree, the hands. The loss of sensation that results from DPN is greater distal to proximal, meaning that the loss of sensation will typically be worse in the toes.