Diabetic peripheral neuropathy in the clinical assessment and diagnosis of.docVIP

 PAGE \* MERGEFORMAT 24 Diabetic peripheral neuropathy in the clinical assessment and diagnosis of Keywords: diabetic peripheral neuropathy Diabetic peripheral neuropathy is the most common complication of diabetes, but also lead to diabetic foot ulcers and amputation of the main reasons, the most common chronic sensorimotor symmetrical diabetic peripheral neuropathy (diabeticperipheralneuropathy, DPN), and Diabetic autonomic neuropathy (diabeticautonomicneuropathy, DAN) [1]. The risk of amputation in diabetic patients with a life-threatening, and diabetic foot ulcers and amputations costly [2]. Early detection of diabetic peripheral neuropathy in patients with diabetes is important, because preventive measures and timely intervention to reduce the incidence of the application. 1 Classification of diabetic neuropathy Diabetic neuropathy is divided into parts according to the host nerve involvement: (1) spinal nerve lesions: including distal neuropathy, proximal neuropathy and single-neuropathy. (2) cranial neuropathy: cranial nerve lesions, including single-and multiple cranial nerve lesions; (3) autonomic neuropathy. In accordance with the clinical manifestations are divided into: (1) sub-clinical type: Subclinical diabetic neuropathy with nerve dysfunction, sensory or motor nerve conduction velocity slowed sensory nerve threshold was elevated, but no clinical signs and symptoms of neuropathy. (2) Clinical type: Clinical diabetic neuropathy is a neurological disease signs and symptoms and / or clinical examination to the nerve function may be abnormal. Into a clinical neuropathy or some specific clinical syndrome, manifested as diffuse or focal change. According to the American Diabetes Association (ADA) recommended the classification method, diabetic neuropathy is divided into two main categories: generalized symmetric multiple neuropathy (Generalized symmetric polyneuropathies) and focal or multiple focal neurological lesions (Foca