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您的检索式：作者名="Dmitry Romanovsky"
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| 1 | Early diabetic neuropathy:Triggers and mechanisms显示文摘Peripheral neuropathy, and specifically distal peripheral neuropathy (DPN), is one of the most frequent and troublesome complications of diabetes mellitus. It is the major reason for morbidity and mortality among diabetic patients. It is also frequently associated with debilitating pain. Unfortunately, our knowledge of the natural history and pathogenesis of this disease remains limited. For a long time hyperglycemia was viewed as a major, if not the sole factor, responsible for all symptomatic presenta- tions of DPN. Multiple clinical observations and animal studies supported this view. The control of blood glu- cose as an obligatory step of therapy to delay or reverse DPN is no longer an arguable issue. However, while supporting evidence for the glycemic hypothesis has ac- cumulated, multiple controversies accumulated as well. It is obvious now that DPN cannot be fully understood without considering factors besides hyperglycemia. Some symptoms of DPN may develop with little, if any, cor- relation with the glycemic status of a patient. It is also clear that identification of these putative non-glycemic mechanisms of DPN is of utmost importance for our un- derstanding of failures with existing treatments and for the development of new approaches for diagnosis and therapy of DPN. In this work we will review the strengths and weaknesses of the glycemic hypothesis, focusing on clinical and animal data and on the pathogenesis of early stages and triggers of DPN other than hyperglycemia. | Maxim Dobretsov Dmitry Romanovsky Joseph R Stimers | 2007 | World Journal of Gastroenterology2007，13，2： | 55 |
| 2 | 早期糖尿病神经病变:病因与机制显示文摘外周神经病变,尤其是末梢神经病变,是糖尿病最常见而棘手的并发症之一。它是糖尿病患者发病与死亡的主要原因,还常与衰弱性疼痛相关。遗憾的是,我们对糖尿病末梢神经病变自然史与发病机理的了解仍然有限。本文介绍2007年1月《World J Gastroenterol》杂志上有关该病的早期病因与机制。 | Maxim Dobretsov Dmitry Romanovsky Joseph R Stimers | 2007 | 继续医学教育2007，21，5： | 1 |
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