THINGS TO ASK YOUR NEUROLOGIST (Print this page out prior to your next neurologist visit and cross out the items that do not apply. Email me with anything you would add to this page at: firstname.lastname@example.org).
Note:For Peripheral Neuropathy, the best doctor may be a Neuromuscular Neurologist. They have completed additional studies of the peripheral nerves. But they can be hard to find outside of large metropolitan teaching hospitals.
- What is my glucose level? Per www.webmd.com ...
The normal blood glucose level (tested while fasting) for non-diabetics, should be between 3.9 and 7.1 mmol/L (70 to 130 mg/dL). The mean normal blood glucose level in humans is about 5.5 mmol/L (100 mg/dL); however, this level fluctuates throughout the day.
- What is my B-12 level? Per https://www.webmd.com/a-to-z-guides/vitamin-b12-test...
If you're at the low end of the range, or below 190 ng/mL,your doctor may order additional tests. If your test shows B12 levels of less than 150 ng/dL, your doctor may want you to be tested for methylmalonic acid. If you have vitamin B12 deficiency, you'll probably have higher levels of this substance
-Have You Ruled Out ...?
-Chronic Inflammatory Demyelinating Polyneuropathy (CIPD): https://www.webmd.com/brain/what-is-cidp#1
-Brachial Plexus Neuropathy:https://www.mayoclinic.org/diseases-conditions/brachial-plexus-injury/symptoms-causes/syc-20350235
-Acute Sensory Neuronopathy:https://onlinelibrary.wiley.com/doi/pdf/10.1002/ana.410070413
-Multifocal Motor Neuropathy (MMN): https://www.gbs-cidp.org/variants/multifocal-motor-neuropathy/multifocal-motor-neuropathy-mmn-progress-challenges/
-Peripheral Neuropathy linked to Obstructive Sleep Apnea? https://www.mdedge.com/jfponline/article/77872/neurology/peripheral-neuropathy-linked-obstructive-sleep-apnea
-Anti-MAG peripheral Neuropathy: https://www.gbs-cidp.org/variants/anti-mag/
-Peripheral Artery Disease (PAD): https://www.heart.org/en/health-topics/peripheral-artery-disease/about-peripheral-artery-disease-pad
- Other Tests To Consider ...
-MRI (Magnetic Resonant Imaging): https://www.foundationforpn.org/what-is-peripheral-neuropathy/evaluation-and-tests/medical-imaging/
- Other Questions ...
-Type 1 diabetes can be a cause of peripheral neuropathy - but what about type 2?
-If your neurologist has given you a possible cause for your P-N, ask him/her how confidant they are that that diagnosis?