Clinical management of Friedreich’s Ataxia: a report of two cases

Abstract

Although there is no cure that can alter the natural course of the disease physiotherapy, management of spasticity and neuropathic pain, symptomatic treatment of heart failure and diabetes and nursing care can grant the patients quality of life.

Polyuria and Acute Hyperglycemia Secondary to New-Onset Diabetes in a Young Woman With Friedreich’s Ataxia

“…Both were wheelchair-bound requiring assistance with ADLs. The authors found that the management of spasticity, neuropathic pain, and the symptomatic treatment of heart failure and diabetes with the help of nursing care improved the quality of life of these patients [12]. This emphasizes the importance of support systems and coordinated care for patients with FRDA [6,12].…”

“…Diabetes is independently associated with worse functional status among patients with FRDA [12]. Given this, many patients have a reduced ability to perform activities of daily living (ADLs) and adhere to medication without assistance.…”

“…The authors found that the management of spasticity, neuropathic pain, and the symptomatic treatment of heart failure and diabetes with the help of nursing care improved the quality of life of these patients [12]. This emphasizes the importance of support systems and coordinated care for patients with FRDA [6,12]. Individualized treatment regimens with insulin, with or without antidiabetic medications, are crucial for the successful control of diabetes in these patients [6].…”