Volume 3, Number 2, September 2006

New perspectives on the management of diabetic peripheral neuropathic pain
Troels S Jensen, Misha-Miroslav Backonja, Sergio Hernández Jiménez, Solomon Tesfaye, Paul Valensi, Dan Ziegler

Peripheral neuropathy affects about 30% of people with diabetes mellitus. Between 16% and 26% of diabetes patients experience chronic pain. This may be referred to as diabetic neuropathic pain (DNP) or diabetic peripheral neuropathic pain (DPNP). Minimum requirements for diagnosis of DPNP should include assessment of pain and symptoms and neurological examination, with the accent on sensory examination. Given that depression and other co-morbidities are commonly associated with this condition, a broad approach to management is essential. Lifestyle intervention and optimisation of glycaemic control are recommended as initial steps in management.

Diabetes Vasc Dis Res 2006;3:108-119.

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