糖尿病性神经病是糖尿病最常见的并发症。症状累及全身神经系统,可单独或联合出现,也可无症状。有些症状亦可见于其它疾病,因此需进行排它诊断。 糖尿病性神经病影响近端和远端感觉神经和运动神经及自主神经,很难精确估计其发生率,报道的发生率为10％～90％。就诊的病人中25％有症状,50％的病人经简单的临床检查发现神经病变。I型和Ⅱ型糖尿病人神经病变并发症的发生率相同。神经病变使截肢的危险性增加,严重影响糖尿病人的生活质量。一旦发生自主神经病变,5～10年死亡率达25％～50％。 Diabetic neuropathy is the most common complication of diabetes. Symptoms involving the entire body nervous system, either alone or in combination, can also be asymptomatic. Some symptoms can also be found in other diseases, so the need for an exclusive diagnosis. Diabetic neuropathy affects the proximal and distal sensory and motor nerves and autonomic nerves, making it difficult to accurately estimate the incidence, reporting a 10% to 90% incidence. Twenty-five percent of the patients treated have symptoms, and 50% of the patients have neuropathy found after a simple clinical examination. The incidence of neuropathy complications in patients with Type I and Type II diabetes is the same. Neuropathy increases the risk of amputation, seriously affecting the quality of life of people with diabetes. In the event of autonomic neuropathy, 5 to 10-year mortality rate of 25% to 50%.