(1), diabetic lower limb vascular disease, mainly manifested as lower extremity pain, intermittent claudication, rest pain, lower limb and foot gangrene.
Early physical examination can be found insufficient blood supply to lower limbs, such as lower limb elevation when the foot skin pale, drooping was purple
by the foot cool hair, dorsalis pedis artery pulse weakened and even disappeared; intermittent forced to line refers to the patient is walking suddenly felt
lower limb feeling pain unbearable, and even limped to walk; rest pain, lower extremity vascular disease is the further development of the result, lower limb
is also pain when walking; illness occur the further development of gangrene. The prevention and treatment should pay attention to:
a, strict control of blood sugar and high blood pressure good.
b, note that the foot health, to protect the feet dry and clean, the water often doubt their feet to prevent foot injuries.
c, to improve lower limb circulation: Note the feet warm, smoking cessation, may be long-term application of vasoactive drugs and lower blood clayey nature
of the drug.
d, once the diagnosis of diabetes, lower extremity vascular disease was established, should be actively treated, so as to avoid illness caused by expansion
of disability and death.
Treatment measures include: anisodamine 654-2 Huoxuetongmai drugs, antibiotics, infection control, Chinese medicine treatment has some effect, vascular
bypass surgery can effectively improve lower limb circulation.
(2), diabetic peripheral neuropathy: such as diabetes, peripheral neuritis, mainly for the physical feeling pain, numbness, paresthesia, if burning, ant-line
sense, touch sensitive, there are patients out "at the foot did not root", "like a on cotton, "and easily fell. The prevention and treatment should pay
attention to:
a, good blood sugar control.
b, large doses of vitamin: If B family, vitamin C, vitamin E.
c, vasodilators:
d, inositol drugs.
e, aldose reductase inhibitors.
f, traditional Chinese medicine.
To be investigated lower extremity vascular color Doppler flow image or leg to see whether the blockage of blood vessels and blood flow of lower limb, but
also check to see lower limb EMG, or muscle pain is a nerve prototype prototype. And symptomatic treatment.
