What Are Possible Results of Uncontrolled Diabetes?

Diabetic peripheral neuropathy refers to the symptoms associated with peripheral nerve dysfunction in diabetic patients when other causes are excluded. Clinical symmetry pain and paresthesia, lower limb symptoms are more common than upper limbs.

Diabetic peripheral neuropathy

Peripheral neuropathy in diabetes is defined as the exclusion of other causes,

First, the diagnostic criteria of diabetic peripheral neuropathy (DPN)

1. A clear history of diabetes or at least evidence of abnormal glucose metabolism.

2. Neuropathy that occurs during or after the diagnosis of diabetes.

3. The clinical symptoms and signs are consistent with the performance of DPN.

4. If there are 2 or more abnormalities in the following 5 inspections, the diagnosis is DPN:

a temperature abnormality;

b. Nylon wire examination, feel or disappear in the feet);

c. Vibration abnormality;

d. Ankle reflex disappears;

e.

Hyperglycemia is the main cause of peripheral neuropathy. The exact pathogenesis of DPN is not completely clear. It is the result of multiple factors, including metabolic disorders, vascular damage, neurotrophic factor deficiency, cytokine abnormalities, oxidative stress and immune factors. There is also the automatic oxidation of glucose to form reactive oxidation products, leading to cells

Early diagnosis and treatment are the basic measures to prevent diabetic neuropathy.

1. Control blood sugar, correct abnormal blood lipids, and control hypertension.

2. Strengthen foot care: Choose shoes and socks with good air permeability and soft fit, and often check and remove foreign objects in the shoes. Patients should wash their feet daily and the water temperature should not be too high. In the autumn and winter seasons, the feet are easy to crack. Use a neutral moisturizer to rub evenly. Sprinkle some talc on sweaty feet.

3. Regular screening and disease evaluation:

DPN should be checked at least once a year after the diagnosis of diabetes.

For patients with a long course of diabetes, or patients with microvascular complications such as fundus lesions and kidney disease, they should be reviewed every 3 to 6 months; once diabetic multiple peripheral neuropathy is diagnosed, the feet with loss of sensation should be specially protected. To reduce the risk of skin damage and amputation.