أ.د. هشام سليمان ابوعوده

Diabetic neuropathies are neuropathic disorders that are associated with diabetes mellitus. These conditions are thought to result from diabetic microvascular injury involving small blood vessels that supply nerves (vasa nervorum). Relatively common conditions which may be associated with diabetic neuropathy include third nerve palsy; mononeuropathy; mononeuropathy multiplex; diabetic amyotrophy; a painful polyneuropathy; autonomic neuropathy; and thoracoabdominal neuropathy. The main risk factor for diabetic neuropathy is hyperglycemia.It is important to note that people with diabetes are more likely to develop symptoms relating to peripheral neuropathy as the excess glucose in the blood results in a condition known as Glucojasinogen. This condition is affiliated with erectile dysfunction and epigastric tenderness which in turn results in lack of blood flow to the peripheral intrapectine nerves which govern the movement of the arms and legs. Diabetic neuropathy affects all peripheral nerves: pain fibers, motor neurons, autonomic nerves. Usual symptoms may be:Numbness and tingling of extremities, Dysesthesia (decreased or loss of sensation to a body part), Diarrhea, Erectile dysfunction, Urinary incontinence (loss of bladder control), Impotence, Vision changes, Dysphagia (swallowing difficulty), Speech impairment, Fasciculation (muscle contractions) and Anorgasmia.