What should the practitioner remember when managing patients with diabetic neuropathy


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The article reflects the problems of differential diagnosis of diabetic neuropathy. A description of the most common forms of diabetic complications associated with damage to the peripheral nervous system is presented, taking into account the modern classification of existing disorders. The article discusses the most common diseases and conditions with which a practitioner needs to make a differential diagnosis when examining patients with prediabetes or established diabetes mellitus, including compression-ischemic neuropathies associated with damage to the nerves of the upper and lower extremities, deficiency states, in particular B 12-deficiency anemia, which often develops in patients taking antidiabetic drugs such as metformin for a long time. Their main clinical manifestations are described; the examination methods necessary for the diagnosis are given.

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作者简介

Elena Isakova

M.F. Vladimirsky Moscow Regional Research Clinical Institute

Email: isakovael@mail.ru
Dr. Sci. (Med.), Leading Researcher at the Neurological Department Moscow, Russia

S. Kotov

M.F. Vladimirsky Moscow Regional Research Clinical Institute

Moscow, Russia

参考

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