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How often should diabetics screen for neuropathy?

Answered byDr. Pavan Kumar UppulaMBBS, MD (General Medicine), DM (Endocrinology)
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Patient's Query

45 years old • male
I'm very concerned about nerve damage in my feet from diabetes. How frequently should I be screened for diabetic neuropathy, and what steps can I take daily to prevent complications like foot ulcers or pain?

Doctor Answers

Dr. Pavan Kumar Uppula
Dr. Pavan Kumar Uppula
Endocrinologist

Regular screenings and daily foot care can significantly reduce the risk of diabetic neuropathy and related complications.

Recommended screening frequency:

  • Type 2 diabetes: At diagnosis, then annually.

  • Type 1 diabetes: Five years after diagnosis, then annually.

Your doctor may use simple tests such as monofilament tests, vibration tests, or temperature assessments during check-ups.

Prevention strategies include:

  • Daily inspection of your feet for blisters, cuts, redness, or swelling.

  • Wearing properly fitted, comfortable footwear to avoid pressure points.

  • Avoiding walking barefoot to prevent injury.

  • Good glycemic control and management of blood pressure and cholesterol levels to preserve nerve function.

Always inform your healthcare team promptly if you notice symptoms like tingling, numbness, pain, or skin changes to prevent further progression.

References:

  1. Tesfaye, S., Sloan, G., Petrie, J., et al. (2020). Diabetic neuropathy: prevalence, diagnosis, and management. The Lancet, 396(10248), 1736–1746.
  2. American Diabetes Association. (2023). Standards of Medical Care: Neuropathy. Diabetes Care, 46(Suppl 1), S203–S214.
  3. Boulton, A. J. M., Armstrong, D. G., Albert, S. F., et al. (2008). Comprehensive foot examination and risk assessment. Diabetes Care, 31(8), 1679–1685.
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Disclaimer: The information provided in this Q&A is for educational purposes only and should not be considered as medical advice. Always consult with a qualified healthcare professional for personalized medical guidance and treatment recommendations.