Internal Medicine, Strelitz Diabetes Center, Eastern Virginia Medical School, 855 West Brambleton Avenue, Norfolk, VA 23510, USA.
Endocrinol Metab Clin North Am. 2013 Dec;42(4):747-87. doi: 10.1016/j.ecl.2013.06.001.
Diabetic neuropathy (DN) is the most common and troublesome complication of diabetes mellitus, leading to the greatest morbidity and mortality and resulting in a huge economic burden for diabetes care. The clinical assessment of diabetic peripheral neuropathy and its treatment options are multifactorial. Patients with DN should be screened for autonomic neuropathy, as there is a high degree of coexistence of the two complications. A review of the clinical assessment and treatment algorithms for diabetic neuropathy, painful neuropathy, and autonomic dysfunction is provided.
糖尿病神经病变（DN）是糖尿病最常见和最麻烦的并发症，导致最大的发病率和死亡率，并给糖尿病护理带来巨大的经济负担。糖尿病周围神经病变的临床评估及其治疗选择是多因素的。DN 患者应进行自主神经病变筛查，因为这两种并发症的共存程度很高。本文对糖尿病神经病变、痛性神经病变和自主功能障碍的临床评估和治疗方案进行了综述。
