Investigating the effect of acupuncture on the symptoms of diabetes-related peripheral neuropathy (DPN).

Determination of the effect of acupuncture on the symptoms of diabetes-related peripheral neuropathy (DPN).

The clinical trial with two groups (intervention and control), pragmatic, one-blind, randomized

This study will be conducted to evaluate the effect of acupuncture on the symptoms of diabetes-related peripheral neuropathy (DPN) in a specialized clinic of Vasesi Hospital in Sabzevar. Patients will be randomly assigned to the intervention and placebo group. Pain evaluation is done by using a visual analog scale measurement scale for the study groups.

Inclusion criteria: Patients with their neuropathy are caused by type 1 and type 2 diabetes, Patients with a pain score of 3 or more are in the form of an assessment of the visual scale of the pain, Patients aged 40 to 60 years, Patients with at least 10 years of diabetes. Exclusion criteria: Patients with a diabetic foot ulcer, Patients who drink alcohol or use tobacco, Patients who use immunosuppressive drugs have interfered with the interpretation of results, Patients whose neuropathy is caused by other disorders, such as carpal tunnel syndrome, AIDS, etc., Unwillingness to complete questionnaires and do acupuncture.

Intervention group: In addition to routine therapies, will be treated with real acupuncture as a complementary therapy for seven sessions and once a week for 20 minutes each session. These points are marked with standard stainless needles and stimulated for 20 minutes manually for acupuncture stimulation elicits (DEQI). Control group: The control group will only be treated under the usual treatment of neuropathy and sham acupuncture for seven sessions and once a week. And points are at least 1.5 centimeters away from the 9 main real acupuncture points will be used.

Determine the amount of pain

Randomization was conducted based on a permutation block by a statistical consultant using random allocation software and the output sequences A and B are available to the researcher, Accordingly, 13 blocks were allocated to patients, in each block, 2 from A treatment group, 2 from the B treatment group were placed. Eventually, after completing the blocks group A was treated with Group A is treated with acupuncture and Group B is being treated with placebo (sham acupuncture). First, we determine all sixsome modes in which two individuals are assigned to group A and two to group B. Then we assign one of the digits 1 to 6 to each of the sixsome combinations (which includes thirty-six modes). In the next step, we must randomly select 13 blocks of six and write their combinations in succession. For this we have to make 13 samplings with replacement from a six-member community; 6 times, choose a random number between 1 and 6 and this process will continue until the end of the sampling and the difference between the two groups will not exceed a maximum of two (half the size of the block).

Each person in the study will be assigned code A and B, that the researcher will only be known of the type of groups. Participants are unaware of the groups. It should be noted that acupuncture and placebo (sham acupuncture) are similar in appearance, color, and packaging.

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