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Exp Clin Endocrinol Diabetes 2021; 129(S 01): S70-S81
DOI: 10.1055/a-1284-6245
DDG Practice Recommendation

Diabetic Neuropathy

Dan Ziegler
1   Institute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University Düsseldorf, Düsseldorf, Germany
2   Department of Endocrinology and Diabetology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
,
Jutta Keller
3   Department of Internal Medicine, Israelite Hospital, Hamburg, Germany
,
Christoph Maier
4   Department of Pain Medicine, Ruhr University, Bochum, Germany
,
Jürgen Pannek
5   Neuro-Urology, Swiss Paraplegic Center Nottwil, Switzerland
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Note

The practice recommendation “Diabetic Neuropathy” of the DDG was developed in close alignment with the National Healthcare Guideline (Nationale Versorgungsleitlinie - NVL) “Neuropathy in Diabetes in Adulthood” (Neuropathie bei Diabetes im Erwachsenenalter), long version, version 1.2, 28 November 2011, based on the version of August 2011 [1] [2]:

German Medical Association (Bundesärztekammer - BÄK), National Association of Statutory Health Insurance Physicians (Kassenärztliche Bundesvereinigung - KBV), Association of the Scientific Medical Societies (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften - AWMF). National Healthcare Guideline Adult Neuropathy in Diabetes in Adulthood - Long Version. Version 1.2, 2011 [cited: August 01, 2012]. Available at: http://www.diabetes.versorgungsleitlinien.de.([Fig. 1] [2])

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Fig. 1 Diagnostic criteria for diabetic sensorimotor neuropathy. Adapted from ref. 3 Source: German Medical Association (Bundesärztekammer - BÄK), National Association of Statutory Health Insurance Physicians (Kassenärztliche Bundesvereinigung - KBV), Association of Scientific Medical Societies (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften - AWMF). National Healthcare Guideline Neuropathy in Diabetes in Adulthood - Long Version, 1st Edition. Version 5. 2011. Available from: www.dm-neuropathie.versorgungsleitlinien.de; DOI: 10.6101/AZQ/000 302. [rerif]
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Fig. 2 Algorithm for pharmacotherapy of painful diabetic sensorimotor neuropathy. Data modified according to source: German Medical Association (Bundesärztekammer - BÄK), National Association of Statutory Health Insurance Physicians (Kassenärztliche Bundesvereinigung - KBV), Association of Scientific Medical Societies (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften - AWMF). National Healthcare Guideline Neuropathy in Diabetes in Adulthood - Long Version, 1st Edition. Version 5. 2011. Available from: www.dmneuropathie.versorgungsleitlinien.de; DOI: 10.6101/AZQ/000 302. [rerif]

Internet: http://www.versorgungsleitlinien.de, http://www.awmf-leitlinien.de

In June 2016 the National Healthcare Guideline was reviewed by the members of the guideline group. Until completion of the updated version (expected January 2020), several sections have been designated as “under revision” (National Healthcare Guideline Neuropathy in Diabetes in Adulthood - Long Version. 1st edition, 2011. version 5. AWMF register no.: nvl-001e. Available at: http://www.leitlinien.de/nvl/diabetes/neuropathie). Subject to revision of the National Healthcare Guideline, the sections revised in this Practice Tool reflect the position of DDG.



Publication History

Article published online:
17 August 2021

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