Clinical Approaches to the Treatment of Diabetic Neuropathy
The article is devoted to the treatment of diabetic neuropathy. The described scheme of application of preparations of alpha-lipoic (thioctic) acid. Recently in Europe and the United States conducted a series of clinical studies that have shown that the minimal period of the reaction to therapy drugs alpha lipoic acid is 21-28 days, during this time decreases symptoms of diabetic polyneuropathy. Optimal time course of treatment is the period of 3 months, which helps to eliminate metabolic injury, subject to the mandatory re courses with a break in 1-3-6 months. The total duration of therapy of neuropathy alpha lipoic acid should be at least one year.
Full Text:PDF (Русский)
American Diabetes Association. Standards of Medical Care in Diabetes — 2013 [Text] // Diabetes Care. — 2013. — Vol. 36. — P. 11-66.
Tesfaye S. Diabetic Neuropathies: Update on Definitions, Diagnostic Criteria, Estimation of Severity, and Treatments / S. Tesfaye, A.J.M. Boulton, P.J. Dyck et al. // Diabetes Care. — 2010. — Vol. 33, № 10. — Р. 2285-2293.
England J.D. American Academy of Neurology, American Association of Electrodiagnostic Medicine, American Academy of Physical Medicine and Rehabilitation Distal symmetric polyneuropathy: a definition for clinical research: report of the American Academy of Neurology, the American Association of Electrodiagnostic Medicine, and the American Academy of Physical Medicine and Rehabilitation / J.D. England, G.S. Gronseth, G. Franklin et al. // Neurology. — 2005. — Vol. 64. — Р. 199-207.
Ziegler D. Treatment of symptomatic diabetic polyneuropathy with the antioxidant alpha-lipoic acid: a meta-analysis / D. Ziegler, H. Nowak, P. Kempler et al. // Diabet Med. — 2004. — Vol. 21. — P. 114-121.
Ziegler D., Rathmann W., Dickhaus T., Meisinger C., Mielck A. Neuropathic pain in diabetes, prediabetes and normal glucose tolerance: the MONICA/KORA Augsburg Surveys S2 and S3 // Pain Med. — 2009. — Vol. 10(2). — P. 393-400.
This work is licensed under a Creative Commons Attribution 4.0 International License.
© "Publishing House "Zaslavsky", 1997-2019