Diabetes mellitus (DM) is a major public health problem. In the US, it affects an estimated 29 million people (9.3% of the population).
Although psychiatrists are usually not called on to treat DM itself, they may frequently see patients with this disease because many suffer comorbid depression. Patients with DM may experience diabetic peripheral neuropathic pain (DPNP); like many types of chronic pain, it is often associated with depression.
As studies have shown that DPNP is often poorly managed, psychiatrists and other mental health professionals may be able to contribute further to the care of their patients with DM by understanding this problem and its proper treatment.
1. Common descriptions of DPNP include which of the following:
B. Electric shocks
D. Pins and needles
E. All of the above
2.There is virtually always a direct relationship between the degree of nerve damage that can be measured by nerve conduction studies and the presence and severity of DPNP.
3. Most of the studies that have examined gender differences associated with DPNP have found that ___________ are more likely to experience it.
1. Dy SM, Bennett WL, Sharma R, et al. Preventing Complications and Treating Symptoms of Diabetic Peripheral Neuropathy. Comparative Effectiveness: Review No. 187. AHRQ Publication No. 17-EHC005-ER. Rockville, MD. Agency for Healthcare Research and Quality. March 2017. www.effectivehealthcare.ahrq.gov/ehc/products/612/2436/diabetic-neuropathy-report-170324.pdf. Accessed August 17, 2017.
2. Hebert HL, Veluchamy A, Torrance N, et al. Risk factors for neuropathic pain in diabetes mellitus. Pain. 2017;158:560-568.
3. Hoffman EM, Watson JC, St. Sauver J, et al. Association of long-term opioid therapy with functional status, adverse outcomes, and morality among patients with polyneuropathy. JAMA Neurol. 2017;74:773-779.