The Atherosclerosis Risk in Communities Study (ARIC) identified diabetes as a significant risk factor for individuals aged 70 years and older. Diabetic neuropathy induces discomfort and sensory loss, heightening the risk of leg and foot injuries or chronic ulceration, potentially resulting in limb loss and diminished quality of life. Acupuncture, Neuropathic Pain, Elderly People, Type 2 Diabetes
Conditions
Interventions
During the study period, take vitamins B1-6-12 three times a day, after meals.,Acupuncture and supplements (with identical dosages and administration methods as the control group) will be administered
Active Comparator Dietary Supplement,Experimental Procedure/Surgery
Control ,Treatment
Sponsors
Center for Medical Excellence
Eligibility
Sex/Gender
All
Age
60 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. Type 2 diabetes patients 2. Ages 60 - 90 years old 3. The level of HbA1c can be controlled according to the individual criteria set by the doctor, considering factors such as age and co-morbidities. These details will be recorded in each patient's DM sheet. 4. Symptoms of diabetic neuropathy, such as sharp, shooting pain like an electric shock, needle-like pricking, or numbness. 5. The monofilament test results were abnormal, falling into the very low to moderate risk categories, with the following criteria: - Very low risk: no risk factors found, including a history of foot ulcers or amputation of the leg/foot/toes, abnormal skin and foot shape, abnormal results from foot sensation assessment, abnormal foot pulses, or an ABI < 0.9. - Low risk: abnormal sensation in the feet (LOPS) or abnormal foot pulses (PAD) - Moderate risk: indicated when 2 out of the following 3 abnormalities are detected: LOPS, PAD, or foot deformity. 6. If you have other underlying conditions such as high blood pressure or high cholesterol, you must be able to control them. 7. Can understand and follow the research process.
Exclusion criteria
Exclusion criteria: 1. There are contraindications or precautions for acupuncture, such as using blood thinners like warfarin, immune deficiency disorders, uncontrolled epilepsy, conditions requiring surgery, and undiagnosed diseases. 2. Elderly patients who have type 2 diabetes may also experience complications such as coronary artery disease, stroke, or peripheral artery disease. 3. I have a fear of needles.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| numerical rating scale (NRS) 1). Before treatment 2) During the fourth week of treatment 3) Following the eighth week of treatment 4) A follow-up contact is scheduled one month after the treatment has been completed. Pain management should commence when the score exceeds 3, on a scale where 0 indicates no pain and 10 signifies severe pain. | — |
Secondary
| Measure | Time frame |
|---|---|
| Semmes-Weinstein monofilament 1). Before treatment 2) During the fourth week of treatment 3) Following the eighth week of treatment 4) A follow-up contact is scheduled one month after the treatment has been completed. 1. Foot sensation (Peripheral neuropathy): Asymptomatic/numb 2. 10g monofilament test: Abnormal/Normal | — |
Countries
Thailand
Contacts
Public ContactPornfah Ananpaisarn
The Center of Thai Traditional and Integrative Medicine, Center of Medical Excellence, Faculty of Medicine, Chiang Mai University
Outcome results
None listed