A new study suggests an association between painful diabetic polyneuropathy and higher, “nondipping” nocturnal blood pressure independent of other pain related comorbidities. The results suggest that nocturnal pain itself acts as a stressor that inhibits nocturnal BP fall, and highlight the importance of controlling cardiovascular risk factors, including 24-hour BP, in addition to treating the neuropathic pain, according to the study authors.
Painful diabetic polyneuropathy is a common complication of diabetes that is frequently undiagnosed and/or undertreated. This research, published online last month in Diabetes Care provides additional rationale for attending to this condition, both to positively impact patients’ sleep, mood, and quality of life, and to manage elevated cardiovascular risk. Read the journal abstract here.