Study of Diabetic Peripheral Neuropathy in Adults of Telangana
DOI:
https://doi.org/10.37506/ijphrd.v14i4.18593Keywords:
Diabetic Peripheral Neuropathy, Newly Diagnosed, Type 2 Diabetes Mellitus, TelenganaAbstract
Background: Diabetic peripheral neuropathy (DPN) predisposes to foot ulceration and gangrene. It has been reported that
prevalence of DPN is lower in Indians relative to Caucasians. Studies among recent onset patients with type 2 diabetes
mellitus (Type2-M) are very few. We studied the prevalence and risk factors of DPN in patients with newly diagnosed
Type2DM.
Methods: We prospectively studied 80 consecutive patients over age 30 with a duration of diabetes ≤1 year. Every patient
underwent a clinical and biochemical evaluation and was screened for DPN using TCSS scale (Toronto clinical scoring
system) and Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) pain scale.
Results: The cases had a mean age of 60.28 years and duration of symptoms of DM is <1year prior to presentation. The
overall prevalence of DPN was 12.5%. The prevalence of DPN showed an increasing trend with FBS (trend chi-square=
3.517, P = 0.0304). A logistic regression analysis showed that DPN was independently associated with Fasting Blood Sugar
(P = 0.0304), Body mass index (P= 0.0389), HbA1c (P = 0.0451), family history (P= 0.0426) and physical activity (P= 0.0219)
but not with age, sex and education.
Conclusions: Our study showed high prevalence of PN in recently diagnosed patients with Type2DM, which was
independently associated with age and duration of symptoms of diabetes prior to the diagnosis. FBS, HbA1c, BMI, were
found to be risk factors for prevalence of Diabetic Neuropathy.
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Copyright (c) 2022 Reyya Mohan Sundar, Makandar U.K.
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