After the sweet comes the bitter. Time to halt the diabetic neuropathy epidemic

Diabetes is the leading cause of neuropathy in industrialized countries and possibly worldwide. The most common form is distal symmetrical polyneuropathy. Diabetes affects the nerves even before being recognized. The disease continues to expand in parallel with the incorrect lifestyle habits typical of modern society. The cardinal symptoms of peripheral nervous system diseases may be indicative of motor, sensory, autonomic and trophic lesions. Diabetic neuropathy also has significant economic costs to society. The high rate of diabetic neuropathy causes substantial morbidity from recurrent infections of the lower limbs, ulceration and amputation. Electromyographic examination of the distal muscles of the lower extremities may reveal acute and chronic denervation. Some alterations of the paraspinal muscles, such as spontaneous activity, are similar to those of disease in the spinal nerve roots.