Metabolic Neuropathy Follow-up

Updated: Dec 18, 2017
  • Author: Tarakad S Ramachandran, MBBS, MBA, MPH, FAAN, FACP, FAHA, FRCP, FRCPC, FRS, LRCP, MRCP, MRCS; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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Follow-up

Further Outpatient Care

Provide close outpatient follow-up care to patients with metabolic neuropathy to treat the primary metabolic condition and to assess treatment results and adverse effects.

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Further Inpatient Care

See the list below:

  • Inpatient care of complications of the metabolic disorder (hyperosmolar state, silent myocardial infarction, arrhythmias) is required.

  • Local treatment of ulcerated diabetic foot and surgical procedures to alleviate pain or impending infection are best performed in the hospital setting.

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Inpatient & Outpatient Medications

Patients should keep a calendar with all medications and their adverse effects.

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Transfer

Transfer patients to an inpatient facility whenever complications develop.

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Complications

See the list below:

  • Patients with metabolic neuropathy can develop autonomic dysfunction and are at high risk to develop asymptomatic myocardial infarction and sudden death.

  • Patients with diabetes who have neuropathy can develop foot ulcers.

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Prognosis

See the list below:

  • Prognosis depends on the control of the primary metabolic condition. If the metabolic condition is controlled, usually the neuropathy also is reasonably well controlled.

  • Autonomic involvement has a worse prognosis than other neuropathies because of the risk of asymptomatic myocardial infarction.

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Patient Education

Provide patients with education about the disease and methods of preventing complications.

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