DIABETIC POLYNEUROPATHY: CURRENT APPROACHES TO DIAGNOSIS AND PATHOGENETIC THERAPY

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Abstract

The paper considers the current views of the prevalence, clinical picture, approaches to the diagnosis and treatment of one of the most common
neurological complications of diabetes mellitus – diabetic polyneuropathy, and both its somatic and autonomous manifestations. Neuropathy is
most common in diabetic patients and its clinical forms reflect the severe course of diabetes mellitus and serve as an unfavorable prognostic sign
that is associated with an approximately 5-fold increase in mortality. At the same time, the timely detection and adequate correction of the manifestations of neuropathy may substantially improve quality of life in the patients. The possibilities of pathogenetic therapy for diabetic polyneuropathy associated mainly with the use of benfotiamine and alpha-lipoic acid, as well as symptomatic therapy for its individual manifestations
are considered.

About the authors

O. S. Levin

Russian Medical Academy of Postgraduate Education, Ministry of Health

Author for correspondence.
Email: oslevin@mail.ru
Department of Neurology Russian Federation

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