The Association of Diabetic Neuropathy with Other Chronic ?Diabetic Complications

J Korean Neurol Assoc > Volume 13(1); 1995 > Article

Journal of the Korean Neurological Association 1995;13(1): 54-58.

당뇨병성 말초신경병증의 다른 당뇨병성 만성 혈관합병증과의 연관성

박재현, 김장성

인제대학교 부속 상계백병원 신경과

The Association of Diabetic Neuropathy with Other Chronic ?Diabetic Complications

Jae Hyeon Park, M.D., Jang Sung Kim, M.D.

Department of Neurology, College of Medicine, Inje University, Paik Hospital, Sanggye

Abstract

Recently chronic angiopathy of diabetes mellitus has become serious complication of diabetes mellitus. Chronic angiopathic complication of diabetes mellitus is divided into macrovascular disease and microvascular disease. Macrovascular disease includes coronary arterial disease, cerebrovascular disease, foot lesion and microvascular disease includes diabetic retinopathy, nephropathy and neuropathy. It is well known that microvascular disease'is relatively unique in diabetic patients and macrovascular disease is frequently found in non diabetic patients, although prevalence rate is still high in diabetic patients. This finding supports the view that microvascular disease and macrovascular disease have different pathogenesis. The authors evaluated and invested the 180 patients with diabetes mellitus who have taken neurologic examination and NCV studies f rom January 1, 1990 to September 30, 1992. The results were as followed: 1.There is a significant tendency that diabetic patients with neuropathy are accompanied by other microangiopathy (retinopathy or nephropathy) than diabetic patients without neuropathy. 2.Between diabetic patients with peripheral neuropathy and without peripheral neuropathy, there is no difference in the prevalence of macroangiopathy.