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afya Diabetic Neuropathy

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20160425222420 Ben  
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''NICE 2013'' 
''manage'' same as other neuropathic pain
    1st line amitriptyline, duloxetine, gabapentin or pregabalin
    if 1st drug does not work, try one of the other 3 drugs
    tramadol - 'rescue therapy' for exacerbations 
    topical capsaicin - localised neuropathic pain (e.g. post-herpetic neuralgia)
    pain management clinics - resistant problems

''Gastroparesis''
    symptoms include erratic blood glucose control, bloating and vomiting
    management options include metoclopramide, domperidone or erythromycin (prokinetic agents)