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At the same time, the effectiveness of loperamide pills directly depends on how early they are started and how regularly they are carried out. Therefore, it should be recognized as absolutely proven that the prevention of the development of neuropathy and other complications of diabetes mellitus should begin immediately after the detection of diabetes and continue throughout the entire period of its treatment.

Neuropathy, which has a characteristic clinical picture, in most casestea occurs as a manifestation of other pathological conditions. Currently, there are about 400 diseases, one of the signs of which is damage to order loperamide online. Most of them are quite rare, and for many practitioners, the main pathology accompanied by the development of neuropathy is diabetes mellitus. In developed countries, it occupies one of the first places in terms of the incidence of neuropathy (about 30%). According to various studies, diabetic polyneuropathy is detected in 10-100% of diabetic patients.

Microangiopathy and metabolic disorders play the most important role in the pathogenesis of diabetic neuropathy. Microangiopathy is a functional and / or structural changes in the capillaries responsible for microcirculation in the nerve fibers. Metabolic disorders include the following processes.

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Changing the results of electrodiagnostic tests. a decrease in the conduction of a nerve impulse in sensory and motor peripheral nerves, a decrease in the amplitude of induced neuromuscular potentials. Changing the results of sensitivity tests. vibration, tactile, temperature. Changes in the results of functional tests characterizing the activity of the autonomic nervous system. dysfunction of the sinus node and heart rhythm, impaired pupillary reflex. Distal symmetrical neuropathy. primary damage to sensory nerves (sensory form), predominant damage to motor nerves (motor form), combined damage to nerves (sensory motor form).

Focal neuropathy. cranial nerves, mononeuropathy (upper or lower extremities), multiple mononeuropathy, polyradiculopathy, plexopathy.

Collecting an anamnesis and identifying patient complaints (questions for determining the subjective symptoms of imodium forms of neuropathy are presented in the table). picking up objects when holding objects when walking when climbing stairs.

The tests listed above allow you to buy imodium online and reliably identify signs of peripheral diabetic neuropathy. For a more detailed diagnosis and detection of other forms of neuropathy, electromyography, electrocardiography (deep breathing tests, Valsalva test, test with a change in body position), blood pressure measurement (tests with a change in body position, with prolonged compression of the hands), fluoroscopy of the stomach with and without contrast, ultrasound examination of the abdominal cavity, intravenous urography, cystoscopy, etc.

• Currently, the treatment of diabetic polyneuropathy is carried out in several stages.
• At the first stage, glycemia is corrected. Numerous studies conducted in recent years have convincingly proven that achieving an optimal blood glucose level within 1 day prevents the development of manifestations of diabetic neuropathy.
• The most modern and competent treatment of neuropathy will be ineffective without stable compensation for diabetes. At the second stage, the patient's body weight is reduced, the regimen of physical activity is optimized, and normal blood pressure is maintained.

At the fourth stage - preparations of alpha-lipoic acid, and if they are ineffective in the case of separate use, combined therapy with neurotropic vitamins, alpha-lipoic acid preparations and other means is carried out.