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Question
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Which of the following statement regarding "Treatment induced Neuropathy of Diabetes" is false?
Explanation
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Treatment induced Neuropathy of Diabetes<br><br>Initially described in patients with type1 Diabetes on Insulin(Insulin Neuritis term), it has been reported with type 2 diabetes as well as those on oral hypoglycemic agents.<br>Drop in HbA1c of 2 % over 3 months confers higher risk<br>Risk and severity increases with sudden rate of drop and initial HbA1c<br>Acute Painful neuropathic and autonomic symptoms occur within 8 weeks of therapy<br>Symptoms are more severe, treatment resistant and more anatomically extensive than diabetic radiculo-plexopathy and peripheral neuropathy<br>Both neuropathic and autonomic symptoms improve over time.
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Reference
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Continuum : Neurology of Systemic Disease (June 2023, Volume 29,no 3) Neurological complications of Endocrine disorders. Page 897
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Option 1
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Is Correct (Option 1):
Acute painful symptoms within 8 weeks of glycemic change
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Option 2
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Is Correct (Option 2):
Risk and severity is proportional to rate of decrease in HbA1c and also the initial HbA1c level.
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Option 3
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Is Correct (Option 3):
Reported in patients of type 2 diabetes on oral hypoglycemic agents
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Option 4
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Is Correct (Option 4):
Symptoms are treatment responsive and anatomically restricted than the diabetic peripheral neuropathy
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