The so-called Diabetic Sensory Peripheral Neuropathy, DSN refers to one of the common complications of diabetes, which affects the quality of life of millions of diabetes patients. Because of their early symptoms, many patients are not aware of the seriousness of the problem until they have progressed. Regular DSN screening of patients is therefore essential for early detection and treatment. The following is a detailed account of the causes, symptoms, screening methods and preventive measures of DSPN.
I. Causes of neurosis around diabetes
The DSPN has occurred in connection with several factors:
Long-term high blood sugar of the patient: The high blood sugar is the main cause of neurosis of the patient, which causes metabolic disorders in the human nervous cell and causes neurological impairment.
Oxidizing stress: In a high blood sugar environment, oxidation stress increases in the patient ‘ s body, resulting in large amounts of free radicals, thereby damaging neurons.
Microvascular disease: Diabetes can often be associated with microvascular disease, affecting the neural blood supply.
Genetic factors: Certain genetic variations may increase the vulnerability of patients to neuroses.
II. Symptoms of neuroses around diabetes
DSPN symptoms tend to occur gradually and may not be readily detectable at an early stage, but they may increase as the condition progresses:
Feels unusual:
Insensitive, stinging, burning.
Feelings are decreasing and are not sensitive to irritation such as temperature, pain, etc.
Ants away or electric shocks.
Pain:
It usually increases at night, affecting the quality of sleep.
Pain may manifest itself as continuous or intermittent.
Physical impairment:
Muscles are weak, walking difficult.
The leg muscles are shrinking and the pace is abnormal.
Auto-neurological disorders:
Sweat abnormal, dry skin.
Angular convulsion disorders cause body temperature regulation anomalies.
III. Screening methods for neuroses around diabetes
Regular DSN screening is key to the early detection of the disease. The following are common screening methods:
Medical history and medical examination:
Doctors are asked about the patient ‘ s symptoms and medical history and undergo a medical examination of the nervous system.
Check for foot skin integrity, perception and blood circulation.
Quantitative Sensory Testing, QST:
Neural function is assessed by temperature, vibration, and touch.
Assessment of the sensory threshold and determination of the extent of neurological damage.
Neurve Control Studies, NCS:
The neurological velocity is assessed through electrophysiological examination.
To determine the type and extent of neurological damage.
Foot screening:
10 g monos test: assess foot sensitivity.
Vibration perception test: use a pitchfork to assess foot vibration.
Temperature perception test: Assesses the perception of cold and heat irritation in the foot.
Autonomous neurofunctional test:
Heart rate mutation test (HRV): Assess the autoneurological function of the heart.
Body temperature adjustment tests: Assessment of skin temperature regulation functions.
IV. Management and treatment of neuroses around diabetes
Once diagnosed, the objective of management and treatment is to alleviate symptoms, delay progress and improve quality of life. Treatment includes:
Blood sugar control: Strict control of blood sugar is the basis for the prevention and treatment of neuroses.
Drug treatment:
Painkillers: antidepressants, epilepsy, for pain relief.
Antioxidizers: e.g. alpha-sulphurinct, reducing oxidation stress.
Neuronutrients: e.g. Vitamin B, promoting neurological rehabilitation.
Physicotherapy: e.g. electric irritation, massage, improvement of nervous function.
Foot care: periodic check of the foot to prevent ulcer and infection.
Lifestyle adjustments:
Dietary control: Low sugar, low fat diet, vitamins and minerals.
Moderate exercise: such as walking, swimming, promoting blood circulation.
Prohibition of smoking and alcohol: reduce further damage to nerves.
Prevention of neuroses around diabetes
The key to preventing DSPN is early blood sugar control and healthy lifestyles:
Strict control of blood sugar: periodic monitoring of blood sugar, follow the doctor ‘ s advice and keep it within normal limits.
Healthy diet: balanced diet, avoiding high sugar and fat food and increasing dietary fibre intake.
Moderate exercise: for example, walking, swimming, promotion of blood circulation, improvement of neurological function.
Periodic check-ups: periodic neurofunctional check-ups to detect and treat early pathologies in a timely manner.
Foot care: Checking the feet every day to detect unusual and timely treatment to prevent ulcer and infection.
Concluding remarks
Neural changes around diabetes are complex and common diabetes complications that seriously affect the quality of life of patients. Through regular screening, early detection of pathologies, combined with scientific blood sugar management, sound medication and a healthy lifestyle, patients can effectively prevent and control DSPN, slow progress and improve the quality of life. Knowledge of DSPN ‘ s causes, symptoms, screening methods and preventive measures help people with diabetes to better manage their health and enjoy a better life
Diabetes neurosis
