Universities of Manchester, Manchester, UK.
Semin Vasc Surg. 2012 Jun;25(2):61-5. doi: 10.1053/j.semvascsurg.2012.04.009.
Diabetic neuropathy is common and it has been estimated that around 40% of older type 2 diabetic patients have risk factors for foot ulceration. It is the loss of the "gift of pain" that results in the development of what should be preventable foot lesions in many patients. As neuropathy is silent in up to 50% of patients, all diabetic patients should receive an annual screening by careful examination of the lower limbs for evidence of any sensory loss or peripheral vascular disease. Similarly, it must be remembered when treating neuropathic foot lesions that patients will willingly weight-bear on plantar ulcers: suitable offloading is therefore the first-line treatment for such lesions.
糖尿病性神经病很常见，据估计，大约 40%的老年 2 型糖尿病患者有足部溃疡的危险因素。正是由于失去了“疼痛的礼物”，导致许多患者本应可以预防的足部病变的发展。由于多达 50%的患者的神经病是无声的，因此所有糖尿病患者都应该通过仔细检查下肢是否有任何感觉丧失或外周血管疾病的证据，每年进行一次筛查。同样，在治疗神经性足部病变时，必须记住，患者会愿意在足底溃疡上负重：因此，适当的减压是此类病变的一线治疗方法。
