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Diabetic polyneuropathy: diagnosis, prevention, and treatment

https://doi.org/10.14412/2074-2711-2020-4-113-118

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Abstract

The most common form of peripheral nervous system damage in diabetes mellitus is distal symmetric sensorimotor polyneuropathy (DSSMPN). Chronic hyperglycemia, dyslipidemia, and impaired microcirculation are considered to be the key mechanisms for the development of DSSMPN, but its pathogenesis is still unclear and continues to be studied. The paper analyzes the issues of diagnosis of DSSMPN and the effective principles of patient treatment. It also discusses the use of alpha-lipoic acid (ALA) as a drug for the pathogenetic treatment of DSSMPN and describes the results of clinical trials of its treatment with ALA preparations.

About the Authors

V. A. Golovacheva
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Veronika Aleksandrovna Golovacheva

Department of Nervous System Diseases and Neurosurgery, Institute of Clinical Medicine

11, Rossolimo St., Build. 1, Moscow 119021



I. A. Strokov
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Department of Nervous System Diseases and Neurosurgery, Institute of Clinical Medicine

11, Rossolimo St., Build. 1, Moscow 119021



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For citation:


Golovacheva V.A., Strokov I.A. Diabetic polyneuropathy: diagnosis, prevention, and treatment. Neurology, Neuropsychiatry, Psychosomatics. 2020;12(4):113-118. (In Russ.) https://doi.org/10.14412/2074-2711-2020-4-113-118

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)