As the physician will already know, fibromyalgia is a disease which is often very difficult to treat. Many patients suffer from fibromyalgia without a fully efficacious treatment. These patients do not have a good quality of life and cannot maintain normal daily activity with currently prescribed treatments. Hence, many fibromyalgia patients inquire about dietary interventions. (1)
Peripheral neuropathy, the most common type of diabetic neuropathy, causes pain or loss of feeling in the toes, feet, legs, hands, and arms. Diabetic peripheral neuropathy affects as many as 50% of older type 2 diabetic patients. Some patients may have extremely painful symptoms, others with a more marked neuropathic deficit may be asymptomatic. Diagnosis requires careful examination of the lower limbs. Management involves establishing that the neuropathy is caused by diabetes, instead of more sinister causes, and aiming for optimal glycemic control. Medications, usually tricyclic drugs or anticonvulsant agents, are often used for symptomatic relief.[i]
