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CASE REPORT
Year : 2013  |  Volume : 4  |  Issue : 3  |  Page : 1

Paresthesia of post-treatment painful diabetic neuropathy and its relation with glycemic control


1 Diabetes Center, Tokyo Women's Medical University, School of Medicine, Tokyo - Japan
2 Department of Medicine, Tokyo Women's Medical University Medical Center East, Tokyo - Japan

Correspondence Address:
S Takayama
Diabetes Center, Tokyo Women's Medical University, School of Medicine, Tokyo - Japan

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Source of Support: None, Conflict of Interest: None


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Post-treatment painful diabetic neuropathy (PPN) usually develops several weeks after a rapid improvement in glycemic control and presents as dramatic, severe and refractory paresthesia in the lower extremities. We report a case of a Japanese patient with type 2 diabetes. The patient had experienced a long, untreated diabetic period of several years combined with poor glycemic control. Glycemic correction was performed 2 times, with PPN that occurred after the first treatment and no PPN after the second treatment. This case indicates that factors such as the speed of glycemic control, body weight trends, and the patient's mental condition may cause PPN. When a patient with poor glycemic control has rapid improvement in glycemic control, PPN and a mental conflict may occur. It is important that both the physical and mental aspects of the patient's situation and condition is communicated carefully and thoroughly to patients with PPN.


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