Diabetic neuropathy in the elderly
The increase in the diabetes mellitus (DM) prevalence and incidence has taken on the features of the epidemic. Particularly often, DM occurs in the elderly and senile patients, while at least half of the cases of diabetes in this population remain undiagnosed. DM contributes to the deterioration of...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Remedium Group LLC
2020-08-01
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| Series: | Медицинский совет |
| Subjects: | |
| Online Access: | https://www.med-sovet.pro/jour/article/view/5753 |
| _version_ | 1797841649666097152 |
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| author | Maria А. Cherdak E. А. Mkhitaryan |
| author_facet | Maria А. Cherdak E. А. Mkhitaryan |
| author_sort | Maria А. Cherdak |
| collection | DOAJ |
| description | The increase in the diabetes mellitus (DM) prevalence and incidence has taken on the features of the epidemic. Particularly often, DM occurs in the elderly and senile patients, while at least half of the cases of diabetes in this population remain undiagnosed. DM contributes to the deterioration of the quality of life, causes formation of dependence and progression of various geriatric syndromes leading to increased mortality. Elderly age is an independent risk factor for diabetic neuropathy. The main clinical forms of which are represented by chronic sensorimotor and autonomic impairments, complicated by impaired cardiovascular, gastrointestinal and urogenital functions, as well as chronic neuropathic pain syndrome. Progression of diabetic neuropathy aggravates walking and balance disorders, increases the risk of falls and loss of mobility, and significantly increases the risk of adverse diabetes outcomes. The article discusses in detail risk factors, pathogenesis, differential diagnosis and the possibilities of clinical and non-clinical evaluation of patients with suspected diabetic neuropathy. Possibilities for pain assessment in elderly people with communicative disorders or concomitant cognitive impairment are demonstrated. The article presents an algorithm for management of diabetic neuropathy in elderly ones, ways for optimization of risk and benefit balance, as well as the possibility of etiopathogenetic and symptomatic treatment of pain, autonomic disorders and prevention of late complications of diabetes with use of alpha-lipouc acid, taking into account key characteristics of discussed population. |
| first_indexed | 2024-04-09T16:34:45Z |
| format | Article |
| id | doaj.art-af19a08227f64047bf161d2b2c4e765f |
| institution | Directory Open Access Journal |
| issn | 2079-701X 2658-5790 |
| language | Russian |
| last_indexed | 2024-04-09T16:34:45Z |
| publishDate | 2020-08-01 |
| publisher | Remedium Group LLC |
| record_format | Article |
| series | Медицинский совет |
| spelling | doaj.art-af19a08227f64047bf161d2b2c4e765f2023-04-23T06:56:57ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902020-08-01011536210.21518/2079-701X-2020-11-53-625233Diabetic neuropathy in the elderlyMaria А. Cherdak0E. А. Mkhitaryan1Pirogov Russian National Research Medical UniversityPirogov Russian National Research Medical University; Russian Clinical and Research Center of GerontologyThe increase in the diabetes mellitus (DM) prevalence and incidence has taken on the features of the epidemic. Particularly often, DM occurs in the elderly and senile patients, while at least half of the cases of diabetes in this population remain undiagnosed. DM contributes to the deterioration of the quality of life, causes formation of dependence and progression of various geriatric syndromes leading to increased mortality. Elderly age is an independent risk factor for diabetic neuropathy. The main clinical forms of which are represented by chronic sensorimotor and autonomic impairments, complicated by impaired cardiovascular, gastrointestinal and urogenital functions, as well as chronic neuropathic pain syndrome. Progression of diabetic neuropathy aggravates walking and balance disorders, increases the risk of falls and loss of mobility, and significantly increases the risk of adverse diabetes outcomes. The article discusses in detail risk factors, pathogenesis, differential diagnosis and the possibilities of clinical and non-clinical evaluation of patients with suspected diabetic neuropathy. Possibilities for pain assessment in elderly people with communicative disorders or concomitant cognitive impairment are demonstrated. The article presents an algorithm for management of diabetic neuropathy in elderly ones, ways for optimization of risk and benefit balance, as well as the possibility of etiopathogenetic and symptomatic treatment of pain, autonomic disorders and prevention of late complications of diabetes with use of alpha-lipouc acid, taking into account key characteristics of discussed population.https://www.med-sovet.pro/jour/article/view/5753diabetes mellitusdiabetic neuropathyelderlyneuropathic painautonomic neuropathylipoic acid |
| spellingShingle | Maria А. Cherdak E. А. Mkhitaryan Diabetic neuropathy in the elderly Медицинский совет diabetes mellitus diabetic neuropathy elderly neuropathic pain autonomic neuropathy lipoic acid |
| title | Diabetic neuropathy in the elderly |
| title_full | Diabetic neuropathy in the elderly |
| title_fullStr | Diabetic neuropathy in the elderly |
| title_full_unstemmed | Diabetic neuropathy in the elderly |
| title_short | Diabetic neuropathy in the elderly |
| title_sort | diabetic neuropathy in the elderly |
| topic | diabetes mellitus diabetic neuropathy elderly neuropathic pain autonomic neuropathy lipoic acid |
| url | https://www.med-sovet.pro/jour/article/view/5753 |
| work_keys_str_mv | AT mariaacherdak diabeticneuropathyintheelderly AT eamkhitaryan diabeticneuropathyintheelderly |