提高对胰岛素神经炎的认识

Improving the understanding of insulin neuritis

胰岛素神经炎是一种快速血糖控制、HbAlc短期内显著下降引起的急性的神经病变。胰岛素神经炎发病机制较复杂,至今尚未阐明,临床医师对该病的重视和认识不够,甚至误诊。本文结合国内外文献报道对胰岛素神经炎临床特征、发生机制、治疗及预后进行综述,提高对该病的认识,降低发生率。

Insulin neuritis is an acute neuropathic lesion caused by rapid blood glucose control and a significant decrease in HbA1c in a short term.The pathogenesis of insulin neuritis is very complicated and is still not completely understood.Since clinicians often do not attach great importance to this disease,it is often misdiagnosed.This article discusses the clinical features,mechanism,treatment,and prognosis of insulin neuritis by reviewing the relevant literature to improve the understanding of this disease.