What Is Diabetic Neuropathy?
7. Medical Care
Since blood glucose fluctuations have been suggested to trigger and aggravate neuropathic pain, the most important goal is to slow the progression of neuropathy and reduce pain by maintaining tight glycemic control. Antidepressants and anticonvulsant medications can also help alleviate pain.
Based on various guidelines, pregabalin has been proven effective for pain and improving quality of life. Other medications that can be considered include gabapentin, sodium valproate, morphine sulfate, dextromethorphan, oxycodone, and tramadol. Topical application of transdermal lidocaine or capsaicin may also be beneficial. In patients who are pregnant, pain control becomes difficult. It is best controlled through maintenance or normal blood glucose levels and acetaminophen (paracetamol).
Advertisement
