Vol. 3, Issue 4 (2018)
Study of clinical profile of diabetic peripheral neuropathy in type 2 diabetes mellitus
Author(s): Dr. Abhishek Y Kadam, Dr. Krupa Pathak, Dr. Smita K Trivedi
Abstract: Diabetic neuropathies are common chronic complications in type 2 diabetes mellitus (T2DM) and on long term it carries poor prognosis. Diabetic neuropathy may present with various sensory, motor or autonomic symptoms. The aims of study were, to assess clinical profile and severity of diabetic peripheral neuropathy & its association to glycemic status and with other modifiable and non-modifiable risk factors. The study included 45 patients with diabetic peripheral neuropathy. Detailed clinical examination including sensory and motor system examination was done and different clinical parameters were studied. Most common symptom of distal symmetrical peripheral neuropathy (DSPN) was tingling and numbness in foot and most common sign was absent ankle reflex followed by loss of vibration perception. Prevalence of peripheral neuropathy increases with increase in age of patients, duration of diabetic mellitus and poor glycemic control. Development of diabetic peripheral neuropathy is associated with other modifiable risk factors; hypertension, high body mass index (BMI), hyperlipidaemia, smoking, etc. Diabetic neuropathy is associated with development of other microvascular complications like diabetic retinopathy and diabetic nephropathy, owing to common pathway of pathogenesis.
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