At present, there are about 600 million people with diabetes in the world, and China has become the country with the largest number of cases, and there is an increasing trend of diabetes patients year by year. However, for this gentle “killer”, many people do not pay attention. “No pain, no itching, I don’t feel any discomfort.” As everyone knows, for every 10 diabetic patients, 1.5-2.5 people will sooner or later develop diabetic feet, and 14%-24% of diabetic feet need to be amputated!
How to control blood sugar in the early stage and prevent diabetic peripheral neuropathy in the early stage is a problem that every sugar friend needs to face.High blood sugar causes peripheral nerve damage
As a neurosurgeon, Yuan Shixiang, director of the neurosurgery department of the Twelfth People’s Hospital of Guangzhou, specializes in cerebrovascular diseases, trigeminal neuralgia, and diabetic peripheral neuropathy. Talking about why he was concerned about diabetic peripheral neuropathy, he also started from an impressive experience he had shortly after becoming a doctor.
“One day, an orthopedic surgeon was performing an amputation on a diabetic patient, and I was watching. After the operation, the doctor told me to show the amputated limb to my family. I was shocked to see my broken leg in my hand.” If patients can control their blood sugar well, the consequences of amputation may also be avoided, Yuan said.
Due to the slow destruction of peripheral nerves in diabetes, patients’ feelings of temperature and pain gradually diminish, and patients will unknowingly appear wounds, such as diabetic feet. Once there is a wound, the pain activates the sympathetic nerve, causing blood vessels to contight and blood circulation to deteriorate, which worsens the condition and sets off a chain reaction.
Good control of blood sugar is the basis of neuropathy treatmentAt present, many hospital burn departments are turning to diabetic wound repair, because there are too many patients with diabetic foot. According to statistics, the amputation rate of diabetic peripheral neuropathy patients is 10-30 times higher than that of the general population.
So how do you avoid amputation? Yuan Shixiang explained that controlling blood sugar is the key, because diabetes is the basic cause of neuropathy, controlling blood sugar is the basis of the treatment of neuropathy, but also an effective way to prevent the further development of lesions.
In general, doctors generally give nutritional neurodrugs such as mecobalamine, anti-oxidative stress drugs such as lipoic acid, reductase inhibitors such as epalrestat, can play a role in the prevention and treatment of diabetic peripheral neuropathy, improve symptoms.
If people with diabetes have burning or pinprick pain in their hands or feet that worsens at night, peripheral neuropathy should be considered first. Yuan Shixiang pointed out that in the diagnosis of diabetes or after the diagnosis of neuropathy, such as pain, numbness, paresthesia, etc., it is recommended to do five tests (ankle reflex, vibration, pressure, temperature, acupuncture pain).
When neuropathy occurs, usually when pain is the main problem, nonsteroidal anti-inflammatory drugs can be used to relieve pain and control symptoms, but in many cases, pain cannot be controlled.According to reports, in the research of many medical centers in the world, more than 100,000 people have received this surgery, and the pain relief rate of patients can reach 70% to 90%, while the relief rate of drug control group is only 30%.
During follow-up, the rates of skin ulcers and amputations were found to be significantly lower in the surgical treatment group.It is reported that Professor Zhang Li of the China-Japan Friendship Hospital in Beijing has completed more than 6,000 cases of DPN decompression and release, and the total effective rate is 80% according to statistical analysis. The operation has been carried out in Beijing, Shanghai and other places in China for more than 10 years and is being promoted nationwide.
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