{"id":17853,"date":"2023-10-31T20:02:29","date_gmt":"2023-10-31T19:02:29","guid":{"rendered":"https:\/\/www.apo.com/magazin\/?post_type=ratgeber&#038;p=17853"},"modified":"2024-06-06T08:13:41","modified_gmt":"2024-06-06T06:13:41","slug":"die-diabetische-poly-neuropathie","status":"publish","type":"ratgeber","link":"https:\/\/www.apo.com/magazin\/folgeerkrankungen-von-diabetes\/die-diabetische-poly-neuropathie","title":{"rendered":"Die Diabetische (Poly-)Neuropathie"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1\"><p>Eine Neuropathie ist eine h\u00e4ufige Form der Nervenerkrankung und sollte so schnell wie m\u00f6glich behandelt werden. Durch unterschiedliche Ausl\u00f6ser, z. B.<strong> Diabetes mellitus<\/strong>, ist die gesunde <strong>Kommunikation der Nervenzellen untereinander gest\u00f6rt<\/strong>. Die St\u00f6rung der Kommunikation kann im Laufe der Zeit zu Nervensch\u00e4digungen f\u00fchren. Je nach Art und Ausma\u00df dieser Sch\u00e4digung k\u00f6nnen sich eine ver\u00e4nderte Sensibilit\u00e4t an bestimmten K\u00f6rperteilen, Empfindlichkeitsverlust, Beeintr\u00e4chtigungen der Organfunktion und Muskelschw\u00e4che entwickeln, die letztendlich auch zu Muskelschwund f\u00fchren k\u00f6nnen. Erfahren Sie in diesem Artikel, welche Formen der Neuropathie es gibt, welche Symptome diese verursachen und wie die Diagnose und Behandlung erfolgt.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-0{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-0 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-1{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #01063f;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#f4f4f4;padding: 20px 40px 20px 40px;\"><div class=\"fusion-text fusion-text-2\"><h3>Das Wichtigste in K\u00fcrze<\/h3>\n<\/div><div class=\"fusion-text fusion-text-3\"><ul>\n<li>Neuropathie ist der \u00dcberbegriff f\u00fcr eine Erkrankung der peripheren Nerven.<\/li>\n<li>Bei einer Mono-Neuropathie ist ein einzelner Nerv betroffen, bei der Polyneuropathie mehrere.<\/li>\n<li>Die Diabetische (Poly-)Neuropathie ist, wie der Name bereits verr\u00e4t, Folge eines Diabetes mellitus. Hier sch\u00e4digt der erh\u00f6hte Blutzucker die Nerven vor allem indirekt.<\/li>\n<li>Der Diabetes mellitus ist zwar eine besonders h\u00e4ufige, aber nicht die einzige m\u00f6gliche Ursache einer Neuropathie. Weitere Ausl\u00f6ser sind beispielsweise ein hoher Alkoholkonsum, Autoimmunerkrankungen, Leber- und Nierenerkrankungen, Medikamente etc.<\/li>\n<li>An Symptomen stehen meistens Missempfindungen wie Kribbeln, Brennen, Schmerzen oder Taubheitsgef\u00fchle in den F\u00fc\u00dfen oder H\u00e4nden im Vordergrund. Oftmals nimmt aber auch unbemerkt die Sensibilit\u00e4t in den F\u00fc\u00dfen ab.<\/li>\n<\/ul>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-1{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-1 > .fusion-column-wrapper {padding-top : 20 !important;padding-right : 40 !important;margin-right : 1.92%;padding-bottom : 20 !important;padding-left : 40 !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-1{width:100% !important;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-1{width:100% !important;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-2{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;margin-bottom:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-4\"><h2>Neuropathie: Erkrankung der peripheren Nerven<\/h2>\n<\/div><div class=\"fusion-text fusion-text-5\"><p>Als Neuropathie werden <strong>Erkrankungen der peripheren Nerven<\/strong> bezeichnet. Zu dieser Gruppe werden alle Nerven gez\u00e4hlt, die nicht zum zentralen Nervensystem (ZNS), also zum Gehirn und R\u00fcckenmark, geh\u00f6ren. Sie erstrecken sich durch den gesamten K\u00f6rper und sind f\u00fcr die \u00dcbertragung von Signalen zwischen dem zentralen Nervensystem und den verschiedenen Organen, Muskeln, Gelenken und Hautbereichen verantwortlich. Unterscheiden lassen sich dabei:<\/p>\n<ul>\n<li><strong>Sensible Nerven<\/strong>: Sie sind daf\u00fcr verantwortlich, dass Menschen Druck, Ber\u00fchrungen oder Schmerzreize wahrnehmen k\u00f6nnen.<\/li>\n<li><strong>Motorische Nerven<\/strong>: Diese peripheren Nerven steuern alle Muskeln im K\u00f6rper und machen Bewegungen \u00fcberhaupt erst m\u00f6glich.<\/li>\n<li><strong>Autonome Nerven<\/strong>: Diese Nerven steuern die Funktion der inneren Organe. Ein anderer Begriff f\u00fcr die autonomen Nerven lautet \u201evegetative Nerven\u201c.<\/li>\n<\/ul>\n<p>Grunds\u00e4tzlich k\u00f6nnen all diese Nerven von einer Neuropathie betroffen sein. Allen gemeinsam ist die Tatsache, dass die <strong>Reizweiterleitung und -\u00dcbertragung nicht mehr richtig funktioniert<\/strong> oder gar vollst\u00e4ndig ausf\u00e4llt. Dies wiederum beruht auf einer <strong>Sch\u00e4digung der Nervenzellen<\/strong> durch verschiedene Ausl\u00f6ser wie beispielsweise ein erh\u00f6hter Blutzucker oder Alkohol.<\/p>\n<p>Je nachdem, wie viele Nerven betroffen sind, wird diese weitere Unterscheidung getroffen:<\/p>\n<ul>\n<li><strong>Mononeuropathie<\/strong>: Hier ist nur ein Nerv von der Neuropathie betroffen.<\/li>\n<li><strong>Polyneuropathie<\/strong>: In diesem Fall sind mehrere Nerven erkrankt.<\/li>\n<\/ul>\n<p>In den meisten F\u00e4llen sind mehrere Nerven betroffen, sodass der Begriff \u201ePolyneuropathie\u201c h\u00e4ufig synonym f\u00fcr eine Neuropathie benutzt wird.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-2{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-2 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-2{width:100% !important;order : 0;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-2{width:100% !important;order : 0;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-3{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-6\"><h2>Welche Ursachen stecken hinter einer Neuropathie?<\/h2>\n<\/div><div class=\"fusion-text fusion-text-7\"><p>Die Ursachen f\u00fcr eine Neuropathie sind \u00fcberaus vielseitig. Sie reichen von Diabetes mellitus, Autoimmunerkrankungen und anderen Vorerkrankungen \u00fcber Alkoholmissbrauch, Vergiftungen bis hin zu den Nebenwirkungen bestimmter Krebsmedikamente. Die Kenntnis \u00fcber den Ausl\u00f6ser ist von gro\u00dfer Bedeutung f\u00fcr die sp\u00e4tere Therapie.<\/p>\n<p>Die Medizin kennt insgesamt rund <strong>200 m\u00f6gliche Ausl\u00f6ser<\/strong> f\u00fcr eine Neuropathie, wobei der Diabetes mellitus (Typ II) und hoher Alkoholkonsum als Hauptursachen gelten.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-3{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-3 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-3{width:100% !important;order : 0;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-3{width:100% !important;order : 0;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-4{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-8\"><h3 style=\"text-align: justify;\">Diabetes mellitus: Ursache f\u00fcr diabetische (Poly-)Neuropathie<\/h3>\n<\/div><div class=\"fusion-text fusion-text-9\"><p>Diabetes mellitus ist die <strong>h\u00e4ufigste Ursache<\/strong> f\u00fcr eine Neuropathie. In diesem Fall spricht das medizinische Fachpersonal von einer <strong>diabetischen (Poly-)Neuropathie<\/strong>. Dauerhaft erh\u00f6hte Blutzuckerwerte sch\u00e4digen langfristig nicht nur die Blutgef\u00e4\u00dfe, sondern auch die <strong>peripheren Nerven,<\/strong> indem sie Entz\u00fcndungen f\u00f6rdern, den Stoffwechsel der Nervenzellen st\u00f6ren, die Durchblutung beeintr\u00e4chtigen und schlie\u00dflich zu einer gest\u00f6rten Signal\u00fcbertragung zwischen den Nerven f\u00fchren. Das bedeutet, dass diese Nerven in ihrer F\u00e4higkeit, Signale weiterzuleiten, zunehmend eingeschr\u00e4nkt sind. Hinzu kommt, dass, Menschen mit Diabetes oft ein erh\u00f6htes Risiko f\u00fcr einen Mangel an verschiedenen B-Vitaminen haben, darunter B6 und B12, vor allem aber B1. Dies ist teilweise auf die Auswirkungen von Diabetes auf den Stoffwechsel und die Aufnahme von Vitaminen im K\u00f6rper zur\u00fcckzuf\u00fchren. B-Vitamine sind f\u00fcr die Gesundheit der Nerven von besonderer Bedeutung, da sie f\u00fcr eine normale Funktion der Nervenzellen unerl\u00e4sslich sind. Sie spielen eine Schl\u00fcsselrolle bei der \u00dcbertragung von Nervenimpulsen und tragen zur Aufrechterhaltung der elektrischen Signal\u00fcbertragung im Nervensystem bei.<\/p>\n<p>Um den Vitamin-B-Mangel auszugleichen, eignen sich besonders Vitamin-B-Komplex-Pr\u00e4parate, insbesondere Produkte mit dem Wirkstoff Benfotiamin (einer Vorstufe von Vitamin B1). Diese Vitamin-B1-Vorstufe wird vom K\u00f6rper deutlich besser aufgenommen als herk\u00f6mmliches Vitamin B1.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-4{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-4 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-4{width:100% !important;order : 0;}.fusion-builder-column-4 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-4{width:100% !important;order : 0;}.fusion-builder-column-4 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-5{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-6 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #01063f;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#f4f4f4;padding: 20px 40px 20px 40px;\"><div class=\"fusion-text fusion-text-10\"><h3>Gut zu wissen<\/h3>\n<\/div><div class=\"fusion-text fusion-text-11\"><p>Nicht selten treten bereits erste Nervensch\u00e4den auf, bevor der Diabetes mellitus diagnostiziert ist.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-5{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-5 > .fusion-column-wrapper {padding-top : 20 !important;padding-right : 40 !important;margin-right : 1.92%;padding-bottom : 20 !important;padding-left : 40 !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-5{width:100% !important;}.fusion-builder-column-5 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-5{width:100% !important;}.fusion-builder-column-5 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-6{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-7 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;margin-bottom:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-12\"><h3>Hoher Alkoholkonsum als Ursache einer Neuropathie<\/h3>\n<\/div><div class=\"fusion-text fusion-text-13\"><p>Dass Alkohol die Nerven beeinflusst, zeigt sich schon an der berauschenden Wirkung. Langj\u00e4hriger, ausgedehnter Alkoholkonsum kann zu <strong>dauerhaften Nervensch\u00e4den<\/strong> f\u00fchren. Die Nervenbahnen sind dann nicht mehr in der Lage, Signale richtig weiterzuleiten. Starker Alkoholmissbrauch geht zudem oft mit einer <strong>Mangelern\u00e4hrung<\/strong> und mit Aufnahmest\u00f6rungen im Magen-Darm-Trakt einher, die wiederum zu einer deutlichen <strong>Unterversorgung mit Vitamin B1<\/strong> f\u00fchren k\u00f6nnen.<\/p>\n<p>Es gibt dar\u00fcber hinaus zahlreiche weitere Ausl\u00f6ser, wie z. B. einen Mangel an Vitamin B-12, B6 und B-9, die sich ebenfalls direkt auf die Gesundheit der Nerven auswirken.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-6{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-6 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-6{width:100% !important;order : 0;}.fusion-builder-column-6 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-6{width:100% !important;order : 0;}.fusion-builder-column-6 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-7{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-8 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-14\"><h2>Welche Symptome verursacht eine Neuropathie?<\/h2>\n<\/div><div class=\"fusion-text fusion-text-15\"><p>Eine Neuropathie kann eine Vielzahl unterschiedlicher Symptome verursachen. Entscheidend ist dabei vor allem, <strong>welche Nerven betroffen sind<\/strong>. Sind die sensiblen Nerven erkrankt, zeigen sich beispielsweise v\u00f6llig andere Beschwerden als bei einem Befall der autonomen Nerven.<\/p>\n<p>Auch die Ursache der (Poly-)Neuropathie spielt eine wichtige Rolle.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-7{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-7 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-7{width:100% !important;order : 0;}.fusion-builder-column-7 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-7{width:100% !important;order : 0;}.fusion-builder-column-7 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-8{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-9 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #01063f;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#f4f4f4;padding: 20px 40px 20px 40px;\"><div class=\"fusion-text fusion-text-16\"><h3>Gut zu wissen<\/h3>\n<\/div><div class=\"fusion-text fusion-text-17\"><p>Die Symptome einer peripheren Neuropathie entwickeln sich f\u00fcr gew\u00f6hnlich langsam und schleichend. Meist treten sie zuerst an den F\u00fc\u00dfen oder H\u00e4nden auf.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-8{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-8 > .fusion-column-wrapper {padding-top : 20 !important;padding-right : 40 !important;margin-right : 1.92%;padding-bottom : 20 !important;padding-left : 40 !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-8{width:100% !important;}.fusion-builder-column-8 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-8{width:100% !important;}.fusion-builder-column-8 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-9{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-10 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:12px;margin-bottom:12px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-18\"><h3>Symptome der sensorischen Nerven<\/h3>\n<\/div><div class=\"fusion-text fusion-text-19\"><p>Diese Symptome treten beispielsweise h\u00e4ufig im Rahmen der <strong>diabetischen (Poly-)Neuropathie<\/strong> auf. Betroffene berichten dann von einem oder mehreren Symptomen an F\u00fc\u00dfen oder H\u00e4nden:<\/p>\n<ul>\n<li>Missempfindungen<\/li>\n<li>Taubheitsgef\u00fchl<\/li>\n<li>Brennen oder stechendes Gef\u00fchl<\/li>\n<li>Ver\u00e4ndertes\/verringertes Schmerzempfinden<\/li>\n<li>Herabgesetztes Temperaturempfinden<\/li>\n<li>Starke Ber\u00fchrungsempfindlichkeit<\/li>\n<li>Schmerzen<\/li>\n<\/ul>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-9{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-9 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-9{width:100% !important;order : 0;}.fusion-builder-column-9 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-9{width:100% !important;order : 0;}.fusion-builder-column-9 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-10{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-11 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-20\"><h3 style=\"text-align: justify;\">Symptome bei Sch\u00e4digung der motorischen Nerven<\/h3>\n<\/div><div class=\"fusion-text fusion-text-21\"><p>Auch die <strong>motorischen Nerven<\/strong> k\u00f6nnen von einer Neuropathie betroffen sein. Dabei handelt es sich um die Nervenstr\u00e4nge, die f\u00fcr die Steuerung der Muskulatur verantwortlich sind.<\/p>\n<p>Folgende Symptome treten in diesem Zusammenhang auf:<\/p>\n<ul>\n<li>Muskelschw\u00e4che (v. a. an den Beinen, Unterschenkeln und H\u00e4nden)<\/li>\n<li>Muskelzucken<\/li>\n<li>Muskelkr\u00e4mpfe<\/li>\n<li>Bewegungseinschr\u00e4nkungen<\/li>\n<li>L\u00e4hmungen<\/li>\n<li>Gangunsicherheit<\/li>\n<\/ul>\n<p>Wenn Muskeln nicht mehr ausreichend \u00fcber Nerven gesteuert werden, k\u00f6nnen sie schrumpfen und schw\u00e4cher werden. In schweren F\u00e4llen f\u00fchrt dies zu Muskelschwund, besonders in Armen und Beinen. Menschen in fortgeschrittenen Stadien k\u00f6nnen auf mechanische Unterst\u00fctzung angewiesen sein. Es ist daher wichtig, die ersten Anzeichen ernst zu nehmen und rechtzeitig medizinische Hilfe zu suchen, um solche Folgen zu minimieren bzw. vorzubeugen.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-10{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-10 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-10{width:100% !important;order : 0;}.fusion-builder-column-10 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-10{width:100% !important;order : 0;}.fusion-builder-column-10 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-11{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-12 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-22\"><h3>Symptome bei Sch\u00e4digung des autonomen Nervensystems<\/h3>\n<\/div><div class=\"fusion-text fusion-text-23\"><p>Ist das autonome (vegetative) Nervensystem von einer Polyneuropathie betroffen, k\u00f6nnen diese Beschwerden die Folge sein:<\/p>\n<ul>\n<li>Verdauungsst\u00f6rungen<\/li>\n<li>Blasenfunktionsst\u00f6rung<\/li>\n<li>Herz-Kreislauf-St\u00f6rungen<\/li>\n<li>Schluckbeschwerden<\/li>\n<li>Potenzst\u00f6rungen<\/li>\n<\/ul>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-11{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-11 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-11{width:100% !important;order : 0;}.fusion-builder-column-11 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-11{width:100% !important;order : 0;}.fusion-builder-column-11 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-12{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-13 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-24\"><h2 style=\"text-align: justify;\">Wie wird eine Neuropathie diagnostiziert?<\/h2>\n<\/div><div class=\"fusion-text fusion-text-25\"><p>Je fr\u00fcher eine Neuropathie diagnostiziert wird, umso eher kann eine entsprechende Therapie eingeleitet werden. Medizinerinnen und Mediziner f\u00fchren zun\u00e4chst eine <strong>intensive Befragung<\/strong> durch, ehe eine Reihe von Untersuchungen folgt.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-12{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-12 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-12{width:100% !important;order : 0;}.fusion-builder-column-12 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-12{width:100% !important;order : 0;}.fusion-builder-column-12 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-13{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-14 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-26\"><h3>Die Patient:innenbefragung<\/h3>\n<\/div><div class=\"fusion-text fusion-text-27\"><p>Den Ausgangspunkt der Diagnostik stellt die ausf\u00fchrliche <strong>Erhebung der Krankengeschichte<\/strong> (Anamnese) dar. Hierzu stellen \u00c4rztinnen und \u00c4rzte eine Reihe von Fragen, um bereits erste Erkenntnisse \u00fcber die m\u00f6gliche Ursache zu finden:<\/p>\n<ul>\n<li>Welche Beschwerden haben Sie aktuell?<\/li>\n<li>Seit wann bestehen die Symptome?<\/li>\n<li>Haben sich Ihre Beschwerden schlagartig eingestellt oder gab es einen schleichenden Beginn?<\/li>\n<li>Wo am K\u00f6rper treten die Symptome auf?<\/li>\n<li>Haben sich die Symptome zwischenzeitlich gebessert oder gar verschlechtert?<\/li>\n<li>Sind bei Ihnen Grunderkrankungen wie z. B. Diabetes mellitus, Nierenerkrankungen o. \u00e4. bekannt?<\/li>\n<li>Gibt es in Ihrer Familie besondere Erkrankungen?<\/li>\n<li>Nehmen Sie Medikamente ein?<\/li>\n<li>Welchem Beruf gehen Sie nach und haben Sie evtl. Kontakt zu Giftstoffen?<\/li>\n<li>Trinken Sie h\u00e4ufig Alkohol?<\/li>\n<\/ul>\n<p>Nach diesem Gespr\u00e4ch liegen oftmals bereits erste Anhaltspunkte vor.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-13{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-13 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-13{width:100% !important;order : 0;}.fusion-builder-column-13 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-13{width:100% !important;order : 0;}.fusion-builder-column-13 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-14{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-15 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-28\"><h3>Die k\u00f6rperlichen Untersuchungen<\/h3>\n<\/div><div class=\"fusion-text fusion-text-29\"><p>An die ausf\u00fchrliche Patient:innen-Befragung schlie\u00dft sich eine <strong>Reihe an k\u00f6rperlichen Untersuchungen<\/strong> an, um einerseits die Ursache zu ergr\u00fcnden und andererseits festzustellen, ob es sich tats\u00e4chlich um eine Neuropathie handelt.<\/p>\n<ul>\n<li><strong>Blutuntersuchung<\/strong>: Polyneuropathie l\u00e4sst sich nicht direkt im Blut nachweisen. Allerdings lassen sich hier wertvolle R\u00fcckschl\u00fcsse <strong>\u00fcber die m\u00f6gliche Ursache<\/strong> Darunter z. B. erh\u00f6hte Leberwerte, Entz\u00fcndungsanzeichen, vor allem aber ein erh\u00f6hter Blutzuckerspiegel.<\/li>\n<li><strong>Einfache neurologische Untersuchung:<\/strong> Mediziner:innen pr\u00fcfen die Reflexe, die Muskelkraft und die Sensibilit\u00e4t der F\u00fc\u00dfe mit einfachen, schmerzfreien Tests. Dadurch ergeben sich bereits erste Hinweise auf m\u00f6gliche St\u00f6rungen der Nervenfunktion.<\/li>\n<\/ul>\n<p>Ist beispielsweise bereits ein Diabetes mellitus bekannt, liegt der Verdacht nahe, dass es sich um eine diabetische (Poly-)Neuropathie handelt.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-14{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-14 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-14{width:100% !important;order : 0;}.fusion-builder-column-14 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-14{width:100% !important;order : 0;}.fusion-builder-column-14 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-15{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-16 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-30\"><h3 style=\"text-align: justify;\">Die technischen Untersuchungen<\/h3>\n<\/div><div class=\"fusion-text fusion-text-31\"><p>Zur k\u00f6rperlichen Untersuchung k\u00f6nnen auch technische Hilfsmittel weitere Erkenntnisse bringen.<\/p>\n<ul>\n<li><strong>Elektroneurografie (ENG)<\/strong>: Diese Untersuchung dient der Bestimmung der Nervenleitgeschwindigkeit. Sind die Nerven gesch\u00e4digt, ist diese in der Regel deutlich verlangsamt.<\/li>\n<li><strong>Elektromyografie (EMG)<\/strong>: Hiermit l\u00e4sst sich feststellen, ob ein Muskel noch ausreichend durch einen Nerv versorgt wird.<\/li>\n<li><strong>Nervenbiopsie<\/strong>: Nur bei unklaren Untersuchungsergebnissen wird eine Gewebeprobe aus den verd\u00e4chtigen Nerven entnommen und feingeweblich untersucht.<\/li>\n<\/ul>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-15{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-15 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-15{width:100% !important;order : 0;}.fusion-builder-column-15 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-15{width:100% !important;order : 0;}.fusion-builder-column-15 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-16{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-17 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-32\"><h2 style=\"text-align: justify;\">Welche Therapiem\u00f6glichkeiten gibt es bei einer Neuropathie?<\/h2>\n<\/div><div class=\"fusion-text fusion-text-33\"><p>Die Behandlung einer Neuropathie <strong>richtet sich nach den Ursachen<\/strong> und ist dementsprechend vielseitig. Liegt beispielsweise eine diabetische (Poly-)Neuropathie vor, sollte der Blutzuckerspiegel langfristig gut eingestellt sein. Bei einer toxischen Neuropathie ist es ratsam, den oder die Ausl\u00f6ser zu vermeiden. Bei Alkoholmissbrauch sollte daher der Alkoholkonsum eingestellt werden und bei Vergiftungen sollten Ausl\u00f6ser wie Arsen, Blei oder bestimmte L\u00f6sungsmittel, einschlie\u00dflich beruflicher Expositionen, gemieden werden. Sind andere Erkrankungen die Ursache, sollten diese so gut wie m\u00f6glich behandelt werden. Doch auch die eigentlichen <strong>Symptome lassen sich vielfach lindern<\/strong>. Aus diesem Grund l\u00e4sst sich die Therapie unterteilen in:<\/p>\n<ul>\n<li>Urs\u00e4chliche Therapie<\/li>\n<li>Symptomatische Therapie<\/li>\n<\/ul>\n<p>Die <strong>urs\u00e4chliche Therapie<\/strong> wird von \u00c4rzten als kausale Therapie bezeichnet. Ein gesunder Lebensstil ist f\u00fcr Menschen mit Diabetes wichtig. Daher sollten sie Wert auf ausreichend Bewegung, ein Normalgewicht, eine gute Blutzuckereinstellung und ihre Herz- und Gef\u00e4\u00dfgesundheit legen.<\/p>\n<p>Bei der Entstehung einer diabetischen Polyneuropathie sind viele Faktoren beteiligt. Erh\u00f6hte Blutzuckerwerte k\u00f6nnen zu oxidativem Stress im K\u00f6rper f\u00fchren. Um diesem entgegenzusetzen, kann die antioxidativ wirkende Alpha-Lipons\u00e4ure eingesetzt werden, um die neuropathischen Prozesse im K\u00f6rper zu bremsen. Ein Mangel an verschiedenen B-Vitaminen kann zu den Beschwerden einer Neuropathie beitragen. Daher kann ein B-Komplex-Vitaminpr\u00e4parat oder insbesondere ein Pr\u00e4parat mit Benfotiamin, einer Vorstufe von Vitamin B1, helfen, einen Vitamin-B1-Mangel auszugleichen.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-16{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-16 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-16{width:100% !important;order : 0;}.fusion-builder-column-16 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-16{width:100% !important;order : 0;}.fusion-builder-column-16 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-17{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-18 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-34\"><p>\n<\/div><span id=\"kairion_data\" data-kairion=\"diabetes\" style=\"display: none;\"><\/span><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-17{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-17 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-17{width:100% !important;}.fusion-builder-column-17 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-17{width:100% !important;}.fusion-builder-column-17 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-18{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-19 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-18 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-35\"><h3>Symptomatische Behandlung<\/h3>\n<\/div><div class=\"fusion-text fusion-text-36\"><p>Um die oftmals sehr st\u00f6renden Schmerzen der Neuropathie unter Kontrolle zu bekommen, stehen Ihnen in Abstimmung mit ihren behandelnden \u00c4rztinnen und \u00c4rzten folgende M\u00f6glichkeiten zur Verf\u00fcgung:<\/p>\n<ul>\n<li>Schmerzlindernde Medikamente zur Einnahme (Auswahl und Verordnung durch den Arzt)<\/li>\n<li>Schmerzlindernde Capsaicin-haltige Extrakte zur Anwendung auf der Haut (z. B. Cayennepfeffer, nach Arztr\u00fccksprache)<\/li>\n<\/ul>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-18{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-18 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-18{width:100% !important;order : 0;}.fusion-builder-column-18 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-18{width:100% !important;order : 0;}.fusion-builder-column-18 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-19{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-20 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-19 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-37\"><h3>Weitere Ma\u00dfnahmen bei diabetischer (Poly-)Neuropathie<\/h3>\n<\/div><div class=\"fusion-text fusion-text-38\"><p>Vor allem bei diabetischer (Poly-)Neuropathie gibt es viele M\u00f6glichkeiten, den <strong>Verlauf g\u00fcnstig zu beeinflussen<\/strong> und Ihre Lebensqualit\u00e4t zu erh\u00f6hen. Dazu geh\u00f6ren insbesondere diese Ma\u00dfnahmen:<\/p>\n<ul>\n<li>Gesunde Ern\u00e4hrung mit vielen Vitaminen, N\u00e4hrstoffen und Mineralien<\/li>\n<li>Ausreichend trinken (v. a. Wasser und unges\u00fc\u00dfte Tees)<\/li>\n<li>Viel Bewegung: Sport oder Spazierg\u00e4nge an der frischen Luft sind ideal<\/li>\n<li>Verzicht auf Tabak<\/li>\n<li>Alkohol nur in Ma\u00dfen genie\u00dfen<\/li>\n<li>Erg\u00e4nzende Ma\u00dfnahmen k\u00f6nnen sein:\n<ul>\n<li>Transkutane elektrische Nervenstimulation<\/li>\n<li>Physikalische Therapie<\/li>\n<li>Physio- und Psychotherapie<\/li>\n<li>Akupunktur<\/li>\n<li>Warme oder kalte Umschl\u00e4ge<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Abschlie\u00dfend l\u00e4sst sich eindeutig festhalten, dass sich gerade eine diabetische (Poly-)Neuropathie mit einem B\u00fcndel an Ma\u00dfnahmen<strong> behandeln<\/strong> l\u00e4sst. Es ist wichtig, die ersten Anzeichen einer Neuropathie zu erkennen, die Ursache zu ermitteln und geeignete Ma\u00dfnahmen zu ergreifen, um das Fortschreiten der Krankheit zu verlangsamen oder zu verhindern. In Absprache mit den behandelnden \u00c4rzt:innen stehen verschiedene M\u00f6glichkeiten zur Verf\u00fcgung, darunter symptomatische und m\u00f6glicherweise kausale Therapieans\u00e4tze.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-19{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-19 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-19{width:100% !important;order : 0;}.fusion-builder-column-19 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-19{width:100% !important;order : 0;}.fusion-builder-column-19 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-20{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-21 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-20 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><style type=\"text\/css\">.fusion-accordian  #accordion-17853-1 .panel-title a .fa-fusion-box{ color: #ffffff;}.fusion-accordian  #accordion-17853-1 .panel-title a .fa-fusion-box:before{ font-size: 16px; width: 16px;}.fusion-accordian  #accordion-17853-1 .panel-title a{font-size:28px;}.fusion-accordian  #accordion-17853-1 .fa-fusion-box { background-color: #212934;border-color: #212934;}.fusion-accordian  #accordion-17853-1 .panel-title a:hover, #accordion-17853-1 .fusion-toggle-boxed-mode:hover .panel-title a { color: #65bc7b;}.fusion-accordian  #accordion-17853-1 .panel-title .active .fa-fusion-box,.fusion-accordian  #accordion-17853-1 .panel-title a:hover .fa-fusion-box { background-color: #65bc7b!important;border-color: #65bc7b!important;}<\/style><div class=\"accordian fusion-accordian\"><div class=\"panel-group\" id=\"accordion-17853-1\"><div class=\"fusion-panel panel-default\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\"><a aria-expanded=\"false\" aria-controls=\"18c063fabf4d5d4f0\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-17853-1\" data-target=\"#18c063fabf4d5d4f0\" href=\"#18c063fabf4d5d4f0\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Quellen<\/span><\/a><\/h4><\/div><div id=\"18c063fabf4d5d4f0\" class=\"panel-collapse collapse \"><div class=\"panel-body toggle-content fusion-clearfix\">\n<ul>\n<li><a href=\"https:\/\/www.diabinfo.de\/vorbeugen.html\">https:\/\/www.diabinfo.de\/vorbeugen.html<\/a> (abgerufen am: 30.03.2023)<\/li>\n<li>Haupt E, Ledermann H, K\u00f6pcke W. Benfotiamine in the treatment of diabetic polyneuropathy&#8211;a three-week randomized, controlled pilot study (BEDIP study). Int J Clin Pharmacol Ther. 2005 Feb;43(2):71-7. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15726875\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/15726875\/<\/a> (abgerufen am: 31.03.2023)<\/li>\n<li>Thornalley et al. High prevalence of low plasma thiamine concentration in diabetes linked to a marker of vascular disease. Diabetologia.\u00a02007;50(10):2164-7 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17676306\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/17676306\/<\/a> (abgerufen am: 31.03.2023)<\/li>\n<li>Deutsche Gesellschaft f\u00fcr Ern\u00e4hrung (DGE), <a href=\"https:\/\/www.dge.de\/wissenschaft\/faqs\/thiamin\/\">https:\/\/www.dge.de\/wissenschaft\/faqs\/thiamin\/<\/a> (abgerufen am: 30.03.2023)<\/li>\n<li>Ziegler et al. Screening, diagnosis and management of diabetic sensorimotor polyneuropathy in clinical practice: International expert consensus recommendations.\u00a0<em>Diabetes Res Clin Pract<\/em>. 2022;186:109063.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-20{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-20 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-20{width:100% !important;order : 0;}.fusion-builder-column-20 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-20{width:100% !important;order : 0;}.fusion-builder-column-20 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-21{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-22 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-21 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-39\"><h3><strong>Gepr\u00fcft durch unser pharmazeutisches Team<\/strong><\/h3>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-21{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-21 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-21{width:100% !important;order : 0;}.fusion-builder-column-21 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-21{width:100% !important;order : 0;}.fusion-builder-column-21 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-22 fusion_builder_column_1_5 1_5 fusion-flex-column fusion-flex-align-self-flex-start\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-center fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div ><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"1200\" height=\"1200\" alt=\"Felix Hoffman, pharmazeutischer Experte\" title=\"Felix Hoffman\" src=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51.jpg\" class=\"img-responsive wp-image-19286\" srcset=\"https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-200x200.jpg 200w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-400x400.jpg 400w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-600x600.jpg 600w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51-800x800.jpg 800w, https:\/\/www.apo.com/magazin\/wp-content\/uploads\/2024\/05\/51.jpg 1200w\" sizes=\"(max-width: 640px) 100vw, 200px\" \/><\/span><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-22{width:20% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-22 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 9.6%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 9.6%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-22{width:20% !important;order : 0;}.fusion-builder-column-22 > .fusion-column-wrapper {margin-right : 9.6%;margin-left : 9.6%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-22{width:100% !important;order : 0;}.fusion-builder-column-22 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-23 fusion_builder_column_4_5 4_5 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-40\"><p>\u201e<i><span data-contrast=\"auto\">An der Pharmazie fasziniert mich am meisten, wie alles zusammenspielt. Von Zusammenh\u00e4ngen im Stoffwechsel hin zur Einnahme von Medikamenten. Wer sich damit auskennt, kann sein Leben positiv beeinflussen.\u201c<\/span><\/i><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><div class=\"fusion-text fusion-text-41\"><p><a href=\"https:\/\/de.linkedin.com\/in\/hoffmannfelix90\"><b><span data-contrast=\"none\">Felix Hoffmann<\/span><\/b><\/a>\u00a0<span data-contrast=\"auto\">lebt f\u00fcr die Pharmazie und bringt eine gro\u00dfe Expertise in der Beratung mit. Mit seinem fundierten Wissen garantiert er die hohen Qualit\u00e4tsstandards der pharmazeutischen Inhalte auf\u00a0<\/span><a href=\"https:\/\/www.apo.com\/\"><span data-contrast=\"none\">apo.com<\/span><\/a><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-23{width:80% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-23 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 2.4%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 2.4%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-23{width:80% !important;order : 0;}.fusion-builder-column-23 > .fusion-column-wrapper {margin-right : 2.4%;margin-left : 2.4%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-23{width:100% !important;order : 0;}.fusion-builder-column-23 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-24 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-42\"><div class=\"fusion-text fusion-text-42\"><\/div>\n<p>Wichtiger Hinweis: Unsere Artikel und Grafiken werden von unserem Expertenteam f\u00fcr chronische Erkrankungen \u00fcberpr\u00fcft. Grundlage sind stets seri\u00f6se Quellen, wissenschaftliche Artikel, Leitlinien und \u00e4rztliche Aussagen. Die Inhalte werden in regelm\u00e4\u00dfigen Abst\u00e4nden aktualisiert und dienen weder der Selbstdiagnose noch ersetzen sie einen Arztbesuch.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-24{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-24 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-24{width:100% !important;order : 0;}.fusion-builder-column-24 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-24{width:100% !important;order : 0;}.fusion-builder-column-24 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-22{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":30,"featured_media":17867,"parent":17889,"menu_order":0,"template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"categories":[68,70,71],"class_list":["post-17853","ratgeber","type-ratgeber","status-publish","has-post-thumbnail","hentry","category-diabetes","category-diabetes-typ-1","category-diabetes-typ-2"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Diabetische (Poly-)Neuropathie ist behandelbar<\/title>\n<meta name=\"description\" content=\"Die diabetische (Poly-)Neuropathie ist eine h\u00e4ufige Form der Nervenerkrankung. 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