Distal diabetic neuropathy: review of evidence-based recommendations

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Abstract

Distal diabetic neuropathy is the leading neurological complication of type 2 diabetes. Diabetic neuropathy is heterogeneous in its clinical entity and the pattern of peripheral neural system damage. In most cases the diagnosis is based on the typical neurological symptoms, the results of neurological examination and neurophysiological testing, where available. Medical treatment of pain in distal diabetic neuropathy includes symptomatic and pathogenetic medications. Effective control of diabetes is crucial for reduction of risk of neuropathy progression and is a predictive factor of effective symptomatic and pathogenetic treatment. The primary choice of medication is based on patient’s characteristics, diabetes control, pain severity, concomitant diseases and commercial availability of medications.

 

About the authors

V. B. Beregovsky

Federal Medical Research Center (St. Petersburg)

Author for correspondence.
Email: platonova@neurology.ru
Russian Federation

V. N. Khramilin

Pirogov Russian National Research Medical University (Moscow)

Email: platonova@neurology.ru
Russian Federation

I. Yu. Demidova

Sechenov First Moscow State Medical University (Moscow)

Email: platonova@neurology.ru
Russian Federation

I. A. Strokov

Federal Medical-Social Expertise Agency

Email: platonova@neurology.ru
Russian Federation

I. V. Guryeva

Russian Medical Academy of Postgraduate Education

Email: platonova@neurology.ru
Russian Federation

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Copyright (c) 2015 Beregovsky V.B., Khramilin V.N., Demidova I.Y., Strokov I.A., Guryeva I.V.

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