Diabetic Peripheral Neuropathy

Duloxetine and Pregabalin: High-dose monotherapy or their combination?

Duloxetine (ie, Cymbalta, and others) and pregabalin (ie, Lyrica) are used in the first line of treatment for diabetic peripheral neuropathy but have been shown to provide any relief in only about 40% of the patients. This study was focused on whether a combination therapy of duloxetine and pregabilin at standard doses may provide better pain …

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Painful and Painless Diabetic Peripheral Neuropathy: One Disease or Two?

Researchers in Endocrinology at the university of Tor Vergata, Rome, published a review of available literature  dealing with the similarities and differences between painful and painless DPN to try and determine if whether they are the same disease. Some people develop an ‘insensate’ variety of DPN while others experience distressing pain.  READ MORE Source: Curr Diab Rep

Phase 1/2 Open-label Dose-escalation Study of Plasmid DNA Expressing Two Isoforms of Hepatocyte Growth Factor in Patients with Painful Diabetic Peripheral Neuropathy

A team of researchers from the Department of Neurology, Northwestern University, reported on Phase 1/2 results of a study to evaluate the safety and preliminary efficacy of intramuscular injections of plasmid DNA (VM202) expressing two isoforms of hepatocyte growth factor (HGF) in patients with painful diabetic peripheral neuropathy (PDPN). Initial results are that VM202 treatment appeared …

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Efficacy and Safety of Carisbamate in Patients with Diabetic Peripheral Neuropathy or Postherpetic Neuralgia

Findings from 3 proof-of-concept studies have been published evaluating the efficacy and safety of carisbamate, a novel neurotherapeutic agent, in the treatment of neuropathic pain. Studies were conducted with patients having postherpetic neuralgia or diabetic peripheral neuropathy for up to 15 weeks. Carisbamate, though well tolerated, did not demonstrate efficacy in neuropathic pain; neither did the …

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Cost of Diabetes Care in US Keeps Climbing

The total cost of diabetes in the US jumped from $174 billion in 2007, to $245 billion in 2012. Costs in 2012 included $176 billion in direct medical costs and $69 billion in indirect costs, which includes absenteeism, reduced productivity, and unemployment caused by disease-related disability. The full report will be published in the April issue of Diabetes Care.  …

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Burden of Illness Associated with Painful Diabetic Peripheral Neuropathy Among Adults Seeking Treatment in the US

Pfizer, Inc. supported a study to characterize the burden of illness among adult patients with DPN receiving treatment in the US. They recruited 112 patients during routine visits at general practitioners and specialist sites who completed a one-time questionnaire that included symptom duration, out-of-pocket costs, validated pain measures, and other assessments. The full study and conclusions are …

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Poor Footwear Adherence Led to High Risk for Reulceration in Diabetes

Only 22-36% of diabetic peripheral neuropathy patients self-report that they wear prescription footwear regularly, especially at home, according to researchers in the Netherlands. According to their study, which monitored at home usage of prescription footwear, people do not wear their prescription shoes at home enough to prevent recurrent ulcers; it has been shown that ulcer …

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Gait Abnormalities Found in Diabetic Neuropathy

Dr. Alessandra Martinelli and her colleagues from the School of Science and Technology in Brazil, evaluated the spatial variables of gait and isometric muscle strength in patients with diabetic peripheral neuropathy. They found that the ankle, muscle strength, and ankle mobility variables could explain differences differences in gait speed and range of motion.  READ MORE …

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Weight-bearing versus Non-weight-bearing Exercise for People with Diabetes and Peripheral Neuropathy

Results of a randomized controlled clinical trial are being published to report on the effects of weight-bearing versus non-weight-bearing exercise for people with diabetic peripheral neuropathy. Participants were recruited from a university-based physical therapy clinic. A relatively small study group had six-minute walk distance and daily step counts measured for 12 weeks, with the weight-bearing …

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