THE DETERMINANTS AND PREDOMINANCE OF PERIPHERAL NEUROPATHY AMONG T2DM INPATIENTS OF AN INDIAN DIABETES CENTER
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 2947-2954
Abstract
Background: Diabetes-related consequences, including microvascular and macrovascular, pose a significant burden in India. Diabetes mellitus (DM) is becoming more common, resulting in an increase in the number of people suffering from DM complications. Diabetic peripheral neuropathy (DPN) is the most prevalent complication among DM patients, affecting 18.8 to 61.9 percent of those in India. DPN problems can be reduced if diagnosed early. Screening programmes at the primary care level can aid in the early detection of problems and improve health outcomes in diabetic patients. The purpose of this research was to determine risk factors for peripheral neuropathy in newly diagnosed Type 2 diabetic patients in Cuttack, Odisha.Methods: This was part of a cross-sectional study to determine the prevalence of peripheral neuropathy among newly diagnosed T2DM patients attending the Cuttack Primary Care Clinic in Odisha. It included a total of 254 patients. A set of case report forms containing sociodemographic data, clinical examination results, and investigation findings was used. Diabetic peripheral neuropathy exists when the patient is unable to feel the monofilament 5.07 (10g) at one or more of the sites examined.
Results: The participants' mean (SD) age was 53.3 (9.06) years. Peripheral neuropathy was found in 8.7 percent of the individuals. Age (p 0.001) and the existence of retinopathy (p = 0.001) were factors that contributed to the development of peripheral neuropathy in newly diagnosed type 2 diabetes patients.
Conclusion: All T2DM patients should be tested for peripheral neuropathy at the time of diagnosis so that preventive interventions can be implemented to prevent diabetic foot disease. Patients with retinopathy should be tested for neuropathy as well.
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