What are the treatment methods for diabetic amyotrophy?

[Amitesh]

My aunt is a 50-year-old female with type 2 diabetes. She developed severe pain in the abdomen and leg as well as unintentional weight loss. She was a high-functioning executive who was unable to work for six months due to pain and fatigue. She had a history of uncontrolled diabetes for eight years without any other complications. Although she had better control of her diabetes, she was still experiencing excruciating pain. At home in Michigan, she consulted a neurologist, a rheumatologist and a pain specialist. She was diagnosed with diabetic amyotrophy. How to treat this condition?

[Yash]

@amitesh Physicians should remember that diabetic neuropathy can present in various forms and does not only cause burning or tingling in the feet or hands. In addition to causing pain, it can affect the gastrointestinal tract, causing slow digestion, nausea, vomiting and diarrhea. The first step to a proper diagnosis is to check for an infection and rule out conditions such as Crohn’s disease in patients with gastrointestinal symptoms, keeping in mind that diabetic neuropathy can lead to gastroparesis or diabetic enteropathy. Diabetic neuropathy can also affect a patient’s heart rate, causing resting tachycardia. Because diabetes is a multidisciplinary problem, not just an endocrinology issue, it often requires a multidisciplinary approach to rule out other diseases and treat complications.