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Treatment of Painful Diabetic Neuropathy

  • Sanjeev Kelkar
Chapter
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Abstract

Despite having a detailed understanding of the pathophysiology of diabetic neuropathy and considerable work on its painful part, it still remains a difficult if not impossible task to control pain in painful neuropathies in diabetes. Relief comes, often partial and almost never complete, with a heavy burden of drugs and lingering side effects. Strangely the drugs that are generally effective have little to do with the pathogenesis of the neuropathy or pain. Severe neuropathic pain often leads to depression and the drugs which are often effective in it are useful for alleviating diabetic neuropathy pain also. There are other drugs which may have to do something with pathogenesis, remain experimental or extremely difficult to administer, like C-peptide, or have been proved to be of no use at all like Aldose Reductase inhibitors despite the pathophysiological connection to their actions.

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Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Sanjeev Kelkar
    • 1
  1. 1.Independent Health ResearcherPuneIndia

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