Ms. Zhang, 63, has been diabetic for eight years, and her blood sugar has been poorly controlled and has been consistently low and low. In recent months, Zhang Dama toe often feel double lower limbs and feet numbness, cold, pain, weakness, and my feet on the ground, feel like on cotton, sometimes feel the ants crawling on legs and feet, can't say how sad. Not only that, but the feet also feel the pain from time to time, the day is good, the night, the pain is intense, often from the dream to wake up, long hard to fall asleep. For a period of time, open and bright optimistic Zhang Dama like changed a person, the spirit of trance, depression, worry about boring may fall on the leg, even in the years of square dance to dance. Since then, zhang has listened to the advice of many people, and has tried various treatment methods, what electric baking, magnetic therapy, massage... The effect was not obvious, but under the guidance of the family, zhang came to the hospital. After a doctor's examination, zhang was suffering from diabetic neuropathy.
Diabetic neuropathy is the most common complication of diabetes. For now, the pathogenesis of diabetic neuropathy precise is not entirely clear, generally considered including blood in the body metabolic disorders, vascular injury and repair of nerve nutrition factor, lack of oxidative stress and many factors such as the result of joint action. Feet hemp is often the symptoms of diabetic neuropathy first appeared, in addition to feel numb, patients will feel loss, such as hot and cold feeling reduce, like wearing gloves, leg warmers, some paraesthesia (like on cotton, chills, ants, and tingling in the worm to climb, or fever, burning, get an electric shock feeling). Because the patients to the stimulation of cold, heat, pain hypoesthesia, disappear, or allergies, even experienced foot stepped on a nail, glass foot injury or wash feet hot water scald oneself do not feel, the consequences are very serious, may appear gangrene or even amputation.
In addition, in general, severe myocardial ischemia occurs, the patient can feel the area before the heart pain or oppressed discomfort, thus will immediately stop to rest, relieve myocardial ischemia. However, the combination of diabetic patients with cardiac autonomic neuropathy can still feel no pain when severe myocardial ischemia and even myocardial infarction occur. Some diabetic patients with myocardial infarction, the clinically outstanding performance is that night cannot lie flat, need to sit to alleviate the discomfort in the anterior region of the heart. A few days later, the electrocardiogram was examined and the patient was suddenly found to have had a heart attack. Such things are not alone in clinical practice.
In addition, the disease is marked by pain. Some patients suffer from dull pain, tingling, electric shock, even acupuncture, fire, and tear, especially at night. Clinically, patients sometimes wake up with a tingling in their sleep. For some patients, touching the quilt is a pain. Others have intermittent claudication, which is characterized by the need to take a break for a short period of time before walking.
In general, there are three strategies that can reverse the progression of diabetic neuropathy. The first is that early changes in blood sugar management, not just to keep blood sugar levels low, but also to reduce blood sugar fluctuations. The second is to improve the blood circulation, including large blood vessels and capillaries application under the guidance of the drug to lower blood viscosity or antiplatelet drugs, usable also expand blood vessel drugs when necessary. Finally, you can also apply nutritional neurologic drugs as prescribed.
In the treatment of diabetic neuropathy, the traditional Chinese medicine is concerned with improving qi and nourishing Yin, living blood and stasis, removing the debruising and dehumidifying, so as to keep the blood flow. For diabetic neuropathy, traditional Chinese medicine can improve the symptoms and delay the progression of the disease. Modern patent Chinese medicine wood grain, Dan to improve nerve blood supply and oxygen supply and conduction velocity have certain help, take medicine under guidance of a doctor can to a certain extent, improve the condition.