Abstract

GUILLEN-NUNEZ, María del Rocío et al. Rational management of the diabetic neuropathies: a multidisciplinary expert group consensus. Rev. mex. anestesiol. [online]. 2023, vol.46, n.3, pp.184-190.  Epub Sep 08, 2023. ISSN 0484-7903.  https://doi.org/10.35366/111074.

Diabetes mellitus, a chronic and progressive condition, was the third most common cause of death in Mexico between January and June 2021. Its most frequent chronic complication is diabetic neuropathy, which has a major impact on the nervous system. A multidisciplinary group of experts met in Mexico City to establish a treatment algorithm considering the symptomatic and etiopathogenic aspects of diabetic neuropathy. A real-time Delphi method with two rounds of interative questions was used. The implementation of the proposed algorithm will allow a comprehensive approach to the diabetic patient with painful and non-painful neuropathy, both in terms of symptoms and etiopathogenesis. This approach provides the opportunity to improve quality of life and achieve reintegration into family and work life. The expert panel recommends thioctic acid as the first line etiopathogenic treatment for diabetic neuropathy.

Keywords : neuropathic pain; thioctic acid; diabetic neuropathy; chronic pain; diabetes mellitus.

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