Quote Originally Posted by alophysio View Post
When your patient has the DM controlled, do her symptoms improve?

Also, how did they determine the neurological signs were from the DM??
Your first question is exactly what I was trying to find out. However as I mentioned there are a lot of other problems, one of which is that she doesn't want to measure her Sugarlevels herself and therefor only get's a check up every three month. It is therefor difficult to find out if attacs and symptoms are related, as I am unsure how controlled her DM really is.
the other is a language problem which ment i could only dip into the history on the surface.

The neurological examinations are still continuing with that patient.
That some of the neurological symptoms originate from the DM was an assumption on my behalf due to following facts
80 percent of all DM show at least slight polyneuropathic changes.
the mainly distal symptom areas mimic a glove or sock distribution.
nightly paraesthesien, calf cramps
trophisch skin changes
as all these seemed to fit to the patient I thought it save to assume...

I only saw this patient very shortly as a substitue for a collegue.
however I will mention this discussion to her to maybe also pay some more attention to the Tx.

Thanks
Annette