| Abstract: | Treatment of diabetic neuropathy is a dif-ficult clinical problem. In thiS paper, clinicalexperience on managing 120 newly discovered,untreated, noninsulin dependent cases is pre-sented. Besides strict control of diabetes, thet.herapeutic effect of different drugs incluftingthe vitamin B group, myoinositol, carbamaze-pine, etc for neurologic manifestations is in-vestigated. No statistical difference wa.s foundbetween groups with or without drug therapy.So the strict control of diabetes with att,enua-tion of hyperglycemia has been considered thesole relia.ble factor for the effective thera.py ofneuropathy. Motor nerve conduction velocitywas restored to a, certain extent in differentperipheral nerve:s indicating that early func-tional nerve damage is reversible on diabetictherapy. Neurogenic bladder and other auto-nomic dysfunction can also be remitted. Whileboth peripheral and autonomic neuropathy canbe improved on diabetic control, early diagno-sis and treatment are the key to obtaining goodtherapeutic effect. |
