Neuropatía diabética y su asociación con síntomas ansiosos

Introduction: Diabetic neuropathy is a microvascular complication of diabetes mellitus. It is characterized by involvement in the nerves that produce a pain like rush, burn or stitch. This neuropathic pain has been associated with a high risk of anxiety in patients with it, thus generating a more significant economic burden in patients with symptomatic diabetic neuropathy. Aim: To describe current literature on the relationship between symptomatic diabetic Neuropathy and the risk of concomitant anxiety symptoms. Method: We carried out a similar search by four reviewers in the Ovid, Pubmed, SciELO, and Cochrane databases. Results: Of the 1140 articles found, 56 were evaluated in fulltext. A varied prevalence of anxious and depressive symptoms was found in patients with symptomatic diabetic neuropathy, evaluated using different questionnaires andscales. Some studies found an association betweenanxiety symptoms, sleep disorders, and inadequate glycemic control. Early education and the management of neuropathic pain have been reported as factors of good prognosis, the latter being the determinants of quality of life and productivity in patients with symptomatic diabetic neuropathy. Conclusion: The relationship between diabetic neuropathy and anxiety symptoms can be bidirectional. Given these findings and their possible impact on the individual and public health, opportunities arise to fill the gaps in primary prevention, early diagnosis, and treatment in this population, which should be defined in future research.