It seems impossible at the moment to stem the incidence of diabetes despite the enormous efforts to address this global problem. We have examined 30 patients with type 2 diabetes to study the clinical and functional status of the peripheral nervous system in patients with diabetic distal polyneuropathy. Our works showed the importance of both clinical and electroneuroneuromiographic examination of patients with diabetes who have or do not have objective manifestations of polyneuropathy. This allows for early detection of the initial effects of polyneuropathy. In patients with symptomatic stage of diabetic polyneuropathy, this method allows to establish the pattern, nature, and severity of lesions of fibers of peripheral nerve trunks.

The recommendations presented information about the current relevance of the study of the nervous system in degenerative diseases of the spine. We give general neurological examination and special technique, modern algorithm for diagnosis and treatment strategy. The publication is intended for neurologists, internists, neurosurgeons, trauma, physical therapists, reflexologist, general practitioners and family medicine.