[Specifics of diagnosis and treatment of diabetic polyneuropathy in elderly patients].

Abstract

AIM\nTo study the specifics of diagnosis and treatment of diabetic polyneuropathy in elderly patients.\n\n\nMATERIAL AND METHODS\nForty-two patients (22 men and 20 women, aged from 65 to 75 years) with diabetes mellitus type 2 and diabetic polyneuropathy were studied using the following psychometric scales: the Michigan Neuropathy Screening Instrument (MNSI), Neurological symptoms scale (NSS), Neuropathy Disability Score (NDS), the Numerical Rating Scale (NRS), Kaplan-Feinstein index (KFI), the Covi Anxiety Scale (COVI), the Recovery Locus of Control Scale (RLOC). Patients were divided into group 1 (n=24) treated with neuromultivit injections, along with standard treatment, and group 2 (n=18), which received standard treatment only. Patients were examined at baseline and one month after treatment.\n\n\nRESULTS\nIn elderly patients, diabetic distal symmetric sensorimotor polyneuropathy of moderate severity was comorbid mostly with cardio-vascular disease. Pain syndrome was associated with anxiety and significant direct correlation between anxiety and pain intensity was found. The level of motivation towards recovery was significantly lower and correlated with COVI scores.\n\n\nCONCLUSION\nInjections of neuromultivit decrease the intensity of pain, improve the emotional state and increase the level of motivation towards recovery.