First AD

Second AD

D. Burning/shooting pain in the lower extremities

Treatment-induced neuropathy of diabetes (TIND) is a rare condition that can occur after rapid normalization of blood glucose levels following prolonged periods of hyperglycemia. Symptoms include

• burning/shooting pain usually in the lower extremities

• worsening of microvascular disease like retinopathy or nephropathy

 This increase is undoubtedly related to increasing numbers of people affected by the diabetes epidemic as well as recent recommendations for more intensive glycemic control.

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What are the key symptoms of TIND, a rare condition that can occur after rapid normalization of blood glucose levels following prolonged periods of hyperglycemia?

Mini Quiz: Treatment-Induced Neuropathy of Diabetes

Veronica Hackethal, MD