The treatment of painful diabetic distal polyneuropathy remains a daunting challenge to the physicians. Major problems in this area remain the paucity of large multicenter conclusive trials, the frequency of side-effects, and particularly the lack of controlled trials using comparator therapies rather than a placebo. Before embarking on a pharmacological therapy, the importance of a thorough history and examination together with an understanding approach, and a serious attempt to stabilize glycemic control cannot be overemphasized. Finally, it must be remembered that all patients with distal sensory polyneuropathy are at potential risk of foot ulceration and should receive preventative foot care education as outlined in Chapter 28 of this volume.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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