00:01
So we've got these four
types of diabetic neuropathy.
00:03
We've got him into
different categories,
but let's talk about them
as for specific types.
00:09
Peripheral neuropathy is weakness,
numbness, and pain from nerve damage
usually in the hands and feet.
00:16
Now, think back to
your favorite patient.
00:17
Remember mine is my dad.
00:19
You're thinking about someone
in your life that's really important.
00:22
What are the kind of things
you would want to teach them
about if they have
peripheral neuropathy.
00:29
Now the next step, I'm going to
talk about autonomic neuropathy.
00:32
We introduce that but
autonomic neuropathy is damage
to the nerves that control
your internal organs.
00:39
Yeah, it's as
serious as it sounds.
00:41
Autonomic neuropathy
can lead to problems
with heart rate, blood
pressure, the digestive system,
their bladder, their sex organs,
their sweat glands, their eyes,
and the ability to really sense what's
going on when the blood sugar is low.
00:56
So beyond being uncomfortable.
00:58
We're talking about some
life impacting events there.
01:02
So we looked at
peripheral neuropathy.
01:05
Now, we're talking about
autonomic neuropathy.
01:08
Well, that's the sympathetic and
the parasympathetic nervous systems.
01:12
We don't have
control over those.
01:14
That's why they're
called autonomic.
01:17
So we start damaging
this complicated system.
01:20
That is why we have
such a significant impact.
01:23
Now, the next one we're looking
at damage to a single nerve.
01:27
That's why we call it focal neuropathy
that's damage to a single nerve
and it's most often in the hand but it can
also be in the head, the torso, or the leg.
01:37
Finally we've got
proximal neuropathy.
01:40
That's damage to nerves
in the hip, buttock or thigh
which makes sitting standing just
about anything really uncomfortable.
01:49
Now usually affects only one side and it is
the rarest form but it isn't any fun either
as you can imagine.