Cognitive impairment and distal polyneuropathy in a patient with diabetes mellitus in neurological outpatient practice

Abstract

Cognitive impairment (CI) and distal polyneuropathy are the most common neurological complications of diabetes mellitus (DM) and depend not only on the severity and duration of hyperglycemia, but also on the presence of concomitant diseases. Patients with DM have one or more concomitant diseases that deteriorate the course of each other, and their joint correction improves the patient's status and quality of life. Management of DM patients requires a multidisciplinary approach at the time of diagnosis in order to prevent and identify major complications, to optimize drug therapy, and to use non-pharmacological treatments.

Keywords

• diabetes mellitus
• neurological complications
• diabetic neuropathy
• moderate cognitive impairment
• dementia
• treatment
• alpha lipoic (thioctic) acid