Guldiken S, Guldiken B, Arikan E, Altun Ugur B, Kara M, Tugrul A
Department of Endocrinology, Medical Faculty, Trakya University, Turkey.
Diabetes Nutr Metab. 2004 Aug;17(4):247-9.
This article reports a case of a diabetic patient who suffered from acute painful diabetic neuropathy, following an intensive insulin treatment after a poor glycaemic control period of 8 yr. On the 15th day of the insulin treatment, which enabled rapid successful glycaemic control, the patient began complaining of pain and a burning sensation in the lower extremities, especially during the night. Venlafaxine HCL was initiated and the patient was completely free of pain on the third day of the treatment. As insulin neuritis is infrequent among diabetic patients we consider it is worth reporting the dramatic effect of the venlafaxine HCL treatment.
本文报告了一例糖尿病患者的病例，该患者在血糖控制不佳8年后接受强化胰岛素治疗，之后患上了急性疼痛性糖尿病神经病变。在胰岛素治疗的第15天，血糖得以迅速成功控制，患者开始抱怨下肢疼痛和烧灼感，尤其是在夜间。开始使用盐酸文拉法辛治疗，患者在治疗第三天时疼痛完全消失。由于胰岛素神经炎在糖尿病患者中并不常见，我们认为值得报告盐酸文拉法辛治疗的显著效果。
