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  The Unofficial
IHS Diabetes Care & Outcomes Audit
Support Site
 
 

Hosted by Ray Shields, MD

   

IHS Standards of Care for Patients
with Type 2 Diabetes

     September 2006    

Part 2: Supporting Statements 
  5.      Other Topics for Consideration
  d.   Diabetes Neuropathies


Diabetes neuropathies are a heterogeneous group of disorders and present a wide range of abnormalities.  They are among the most common long-term complications of diabetes and are a significant source of morbidity and mortality.   Proximal and distal peripheral sensory and motor nerves can be affected, as well as the autonomic nervous system.  The major morbidity of somatic neuropathy is foot ulceration.  Neuropathy increases the risk of amputation 1.7 fold.  An in-depth discussion of diabetic neuropathies is beyond the scope of this document.

 

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