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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2019-4-52-60</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-3116</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОСЛОЖНЕНИЯ САХАРНОГО ДИАБЕТА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>COMPLICATIONS OF DIABETES</subject></subj-group></article-categories><title-group><article-title>Болевая диабетическая полинейропатия: от клинических рекомендаций к повседневной практике</article-title><trans-title-group xml:lang="en"><trans-title>Painful diabetic polyneuropathy: from clinical guidelines to daily practice</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Храмилин</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Khramilin</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Храмилин Владимир Николаевич - кандидат медицинских наук, кафедра эндокринологии и диабетологии факультета дополнительного профессионального образования.</p><p>117997, Москва, ул. Островитянова, д. 1; тел.: +7(495) 48394-44</p></bio><bio xml:lang="en"><p>Khramilin Vladimir Nikolaevich - Cand. of Sci.(Med.), Chair of Endocrinology and Diabetology, Faculty of Additional Professional Education. </p><p>117997, Moscow, Ostrovityanova St., 1; Tel.: +7(495) 483-94-44</p></bio><email xlink:type="simple">Khramilin_RGMU@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Демидова</surname><given-names>И. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Demidova</surname><given-names>I. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Демидова Ирина Юрьевна - доктор медицинских наук, профессор, зав. кафедрой эндокринологии и диабетологии факультета дополнительного профессионального образования.</p><p>117997, Москва, ул. Островитянова, д. 1; тел.: +7(495) 483-94-44</p></bio><bio xml:lang="en"><p>Demidova Irina Yurievna - Dr. of Sci.(Med.), Professor, Head of Chair of Endocrinology and Diabetology, Faculty of Additional Professional Education.</p><p>117997, Moscow, Ostrovityanova St., 1; Tel.: +7(495) 483-94-44</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Завьялов</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Zavialov</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Завьялов Александр Николаевич - врач-эндокринолог, аспирант, старший лаборант кафедры эндокринологии и диабетологии факультета дополнительного профессионального образования.</p><p>117997, Москва, ул. Островитянова, д. 1; тел.: +7(495) 483-94-44</p></bio><bio xml:lang="en"><p>Zavyalov Aleksandr Nikolaevich - Cand. of Sci.(Med.), Chair of Endocrinology and Diabetology, Faculty of Additional Professional Education.</p><p>117997, Moscow, Ostrovityanova St., 1; Tel.: +7(495) 483-94-44</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education «Russian National Research Medical University named after N.I. Pirogov» of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>20</day><month>08</month><year>2019</year></pub-date><volume>0</volume><issue>4</issue><fpage>52</fpage><lpage>60</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Храмилин В.Н., Демидова И.Ю., Завьялов А.Н., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Храмилин В.Н., Демидова И.Ю., Завьялов А.Н.</copyright-holder><copyright-holder xml:lang="en">Khramilin V.N., Demidova I.Y., Zavialov A.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/3116">https://www.med-sovet.pro/jour/article/view/3116</self-uri><abstract><p>Диабетическая полинейропатия (ДПН) и нейропатическая боль в значительной мере ухудшают качество жизни пациентов с сахарным диабетом. Клинические рекомендации часто не рассматривают альтернативные варианты терапии. Цели лечения болевой ДПН должны быть индивидуализированы. Выбор препарата для лечения болевой ДПН зависит от эффективности, профиля безопасности и существующей или потенциальной коморбидной патологии.</p></abstract><trans-abstract xml:lang="en"><p>Diabetic neuropathy and neuropathic pain worsen the quality of life of patients with diabetes. Clinical recommendations are not uniform and, often, do not consider alternative treatment options. The goals of treatment for diabetic painful neuropathy should be individualized. The choice of drug for the treatment of painагд DPN depends on the effectiveness, safety profile and existing or potential comorbid pathology.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сахарный диабет</kwd><kwd>диабетическая полинейропатия</kwd><kwd>нейропатическая боль</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Diabetic polyneuropathy</kwd><kwd>neuropathic pain</kwd><kwd>diabetes mellitus</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Давыдов О.С., Яхно Н.Н., Кукушкин М.Л. и соавт. Невропатическая боль. Клинические рекомендации по диагностике и лечению. РОИБ. М., 2018:1-88.</mixed-citation><mixed-citation xml:lang="en">Davydov O.S., Yakhno N.N., Kukushkin M.L., et al. Neuropathic pain. Clinical guidelines for diagnosis and treatment. Russian Association for the Study of Pain M., 2018: 1-88. 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