Diabetes mellitus (DM) is a chronic health issue faced by 347 million people around the world as stated by the World Health Organization (WHO) (2013). It is predicted by the year 2030 over 366 million people will be diagnosed with diabetes (Stein, Eible, Sbruzzi, Lago, & Plentz, 2013). According to Stein et al (2013), 50% of DM cases will experience some type of neuropathy in their lifetime. "Chronic hyperglycemia is a major factor that induces nerve fiber injury" (Bulut, Ozcan, Cakan, Bektas, & Culha, 2010, p. 914). The pain caused by the damage is described as "burning, tingling, lancinating, formicating, aching, or tearing" (Wunderlich, Peters, Bosma, & Armstrong, 1998, p. 895).
In diabetes, pain that is located in the upper and lower extremities is referred to as Painful Diabetic Neuropathy (PDN) (Stein et al., 2013). Other names, such as Painful Diabetic Peripheral Neuropathy (PDPN) and Diabetic Peripheral Neuropathy (DPN) are also used to describe this symptom (Zelman, Brandenburg, & Gore, 2006). For continuity of this paper, the term PDN will be used. PDN is considered a chronic pain, and a common complaint is increased peripheral pain at night that disrupts sleep (Zelman et al., 2006). This exacerbated nighttime pain and disruption in sleep can affect the overall health and quality of life for the diabetic person (Zelman et al., 2006).
The aim of this study is to explore the effectiveness of continued nighttime use of a TENS device as a supplement to pharmaceutical therapies to improve sleep quality in patients who experience sleep disruption due to nocturnal PDN. This study would provide an extension to current research in the use of a TENS device to manage diabetic neuropathic pain, with the focus on impro...
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...ic field use in patients with diabetic neuropathy: Systematic review and meta-analysis. Brazilian Journal of Physical Therapy, 2, 93-104. Retrieved from http://dx.doi.org/10.1590/S1413-35552012005000083
Touma, C., & Pannain, S. (2011). Does lack of sleep cause diabetes? Cleveland Clinic Journal of Medicine, 78(8), 549-558. http://dx.doi.org/10.3949/ccjm.78a.10165
World Health Organization: Diabetes. (2013). http://www.who.int/mediacentre/factsheets/fs312/en/
Wunderlich, R. P., Peters, E. J., Bosma, J., & Armstrong, D. G. (1998). Pathophysiology and treatment of painful diabetic neuropathy of the lower extremity. Southern Medical Journal, 91, 894-898.
Zelman, D. C., Brandenburg, N. A., & Gore, M. (2006). Sleep impairment in patients with painful diabetic peripheral neuropathy. Clinical Journal of Pain, 22, 681-685. http://dx.doi.org/10.1097/01.ajp.0000210910.49923.09
According to Wilson (2005), sleep deprivation can cause not only traffic accidents, but also medical conditions such as: obesity, type 2 diabetes, metabo...
Diabetes mellitus also known simply as diabetes refers to a group of metabolic diseases which affect the body’s homeostatic mechanism used for maintaining and regulating the body’s blood sugar levels. Diabetes is a chronic condition which, in 2013 was estimated to be affecting 382 million people worldwide.[1] People suffering from diabetes are required to constantly be vigilant of their blood sugar levels to ensure it does not go below or above optimum levels. Depending on the type of diabetes and glucose level range, they may need to inject themselves with insulin or eat high sugar foods to restabilise their body. Failure to do so can lead to other long term health effects.[2]
Yang, Zhirong., Yuan, Zhang., Chen, Ru., Huang, Y., Ji, L., Sun, F., Hong, T., Zhan, S. (2014). Sample Tests to Screen for Diabetic Peripheral Neuropathy. The Cochrane Library: DOI: 10.1002/14651858.CD010975. Retrieved from: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010975/abstract
DOI: 4/24/2013. This is a case of a 59-year-old female customer service representative who sustained injury to her left ankle when she got up after her foot “fell asleep”. As per OMNI notes, patient underwent ligament reconstruction with Brostrom repair on 1/16/2014 and left knee arthroscopy on 10/8/2014. As per office notes dated 6/21/16, the patient returns for interval followup visit. The patient has been working more and is explaining to me that she is having exacerbation of symptoms. The patient admits to increasing neuropathic pain secondary to complex regional pain syndrome. It was mention that the patient has been on Topamax and tramadol which allow the patient to get some improvement. She admits 40% improvement in the pain and she also
Chronic sleep loss is becoming more common in modern culture and less restricted to sleep-deprived diseases such as insomnia. Suggested to be the result of a number car, industrial, medical, and other occupational accidents, sleep deprivation is beginning to be recognized as a public concern. As a result, the Centers for Disease Control
Diabetic neuropathy is common in individuals with long-standing diabetes. It affects the nerves and can cause damage throughout the body. Worsening of diabetic neuropathy is observed among individuals with
This consists of damage to my heart and blood vessels, eye damage, and foot and skin damage (Mayo, 2014). Diabetes leads to heart disease because high blood sugars over a long period of time are very damaging to the body’s cells and nerves (Mayo, 2014). Another complication of diabetes is neuropathy, which is a sensation of tingling, numbness, and burning in the fingers and toes. This damage occurs because excess sugar in the walls of blood vessels can injure the vessels and cause them to break down (Mayo, 2014).
This article has shown me that new strategies are needed to reduce sleep disturbances, improve sleep quality, and support the need for supplemental daytime sleep in hospitalized individuals. These strategies include monitoring patients’ sleep and assess quality of sleep and duration, resolving the problems of sleep disturbance, recognizing that nighttime noise, light, and other factors potentially interfere with patient sleep, minimize lighting in shared patient rooms and turn off lights earlier at night, frequently assess for pain and administer prescribed pain medications to minimize sleep disruption. This article taught me more about sleep cycles and disturbances in hospitalized patients. As a future nurse, I have to accurately assess the patients’ personal characteristics and health education needs, and share this knowledge with my classmates.
It should be noted that the findings of this report are limited by the current knowledge available. As such public awareness of sleep deprivation and the science of sleep must be raised so that sleeping disorders such as sleep deprivation may be completely understood and treated.
An astounding 347 million individuals (WHO-Danaei.G) are inflicted with Diabetes mellitus (DM), a type of metabolic disease that’s significantly influenced by hyperglycemia (causing individuals to generate high blood sugar) and can be characterized by the insufficient production or improper reaction to insulin. There are three different types of DM: Type 1, Type 2, and Gestational diabetes, all of which share common symptoms include polyuria (frequent urination), polydipsia (increased thirst), and polyphagia (increased hunger) (Ahuja 1139). Generally, diabetes prevents the ingested glucose from entering the cells, ultimately depriving the body of its’ main source of energy.
...nd recommendations from healthcare providers is key in preventing severe damage. Smoking, alcohol use, and poor diet all contribute to worsening symptoms of neuropathy. Therefore, support systems and constant education should be a part of any treatment plan for the patient at risk or the patient suffering from diabetic neuropathy.
With any diseases, there are many risk for patients later in life, some of T1 Diabetics being things like diabetic neuropathies or nerve pain, kidney disease, and even eye disease. The diabetic neuropathies usually come later in life, in adulthood, and can be described as a pain, tingling sensation, or numbness in the hands, arms, feet, or legs. This pain is caused by the buildup of high blood sugar which damages nerves and blood cells. In some, the symptoms may not be noticeable until years later, and in others the severity of the pain is quite sudden. Peripheral neuropathy, the most common of nerve pain, is characterized by affecting the feet and legs and on occasion hands and arms. Symptoms include burning, tingling, numbness, weakness,
"Symptoms - The American Diabetes Association." American Diabetes Association, 2014. Web. 3 Mar 2014. .
Kyle, S. D., Espie, C. A., & Morgan, K. (2010). “… Not just a minor thing, it is something major, which stops you from functioning daily”: Quality of life and daytime functioning in insomnia. Behavioral Sleep Medicine, 8(3), 123-140. doi:10.1080/15402002.2010.487450
Wells, M., & Vaughn, B. V. (2012). Poor Sleep Challenging the Health of a Nation. Neurodiagnostic Journal,52(3), 233-249.