Diabetic neuropathy

Autonomic neuropathy to the gut, bladder and sexual organs (impotence) can occur. A

3rd nerve mononeuropathy can occur. Motor neuropathy can cause muscle wasting, and sensory neuropathy causes vibration sensory loss.

In diabetic patients with microalbuminaemia demonstrated on urine dipstick, ACE

inhibitors have been shown to reduce progression towards diabetic nephropathy.

Aggressive hypertension control is the best way of preventing progression from microalbuminuria to macroalbuminuria. Although glycaemic control is important, it is not as important as hypertensive control in preventing progression towards nephropathy.