Study of changes in peripheral nerves in diabetic polyneuropathy in patients with type 2 diabetes mellitus: the role of ultrasound diagnostics

• Zoya V. Karaseva

Abstract

Diabetic polyneuropathy remains a significant problem among patients with type 2 diabetes, affecting more than a quarter of them.

Today, the ultrasound method of studying peripheral nerves is becoming increasingly popular around the world, but in the Russian Federation its use is limited and is mainly used only in some medical institutions.

To diagnose diabetic polyneuropathy, the ultrasound method uses the cross-sectional area of the nerve, which has a high sensitivity (93%) compared to magnetic resonance imaging data (67%). Studies by both foreign and domestic authors confirm an increase in cross-sectional area in patients with diabetes mellitus.

Keywords: diabetes mellitus; diabetic polyneuropathy; ultrasound; cross-sectional area

References

1. Dedov I.I., Shestakova M.V., Vikulova O.K., et al. Epidemiological characteristics of diabetes mellitus in the Russian Federation: clinical and statistical analysis according to the Federal diabetes register data of 01.01.2021. Saharnyj diabet [Diabetes mellitus]. 2021; 24 (3): 204–21. (in Russian)

2. Algorithms for specialized medical care for patients with diabetes. 11^th issue / ed. I.I. Dedov, M.V. Shestakova, A. Yu. Mayorov. Moscow, 2023. (in Russian)

3. Tandon A., Khullar T., Maheshwari S., et al. High resolution ultrasound in subclinical. Diabetic neuropathy: A potential screening tool // Ultrasound. 2020; 29 (3): 50–161.

4. Danilova M.G. Ultrasound examination of peripheral nerves in children under normal conditions and with type 1 diabetes mellitus. Diss. Moscow, 2022: 147. (in Russian)

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