快速血糖下降所致急性痛性糖尿病神经病变

Acute painful diabetic neuropathy induced by rapid decrease of blood glucose

急性痛性糖尿病神经病变是一种急性起病的可逆的因既往血糖控制很差而近期血糖快速显著下降所致的神经病变.该病的病因及发病机制尚不明确,目前认为主要与快速血糖下降所致相对低血糖引起的代谢异常、神经受损及神经内膜局部缺血、缺氧等相关.该病重在预防.

Acute painful diabetic neuropathy is an acute onset and reversible neuropathy due to the rapid decrease of blood glucose in patients with poor glycemic control.At present, the etiology and pathogenesis of the disease is not clear, but inay be related to abnormal metabolism, nerve injury and endoneurial ischemia indueed by relative hypoglycemia because of the rapid decline of blood glucose especially in the short term.So the best treatment of the disease is the prevention.