1Resident, Department of Physiology, NHLMMC, Ahmedabad
2Associate Professor, Department of Physiology, NHLMMC, Ahmedabad
3Assistant Professor, Department of Physiology, NHLMMC, Ahmedabad
Online published on 17 February, 2017.
To determine the association between types of clinical presentation and severity of neuropathy in NIIDM by electromyography
The study was carried out at private EMG center at Ahmedabad in 2012. Total randomly selected 52 cases male (39), female (13) symptomatic cases of NIDDM were included in study. We included known cases of NIDDM aged 32–88 excluding IDDM and asymptomatic NIDDM patient. The standard Needle EMG was used for study.
From our study it was found that maximum (40.3%) cases seen with 6–10 years duration, 57.6% cases have BMI<18.5, 61.1% have >5'7 ”height, 80.7% don't have positive family history. Associated diseases are HT (23%), CAD (17.3%). Presenting symptoms are tingling-numbness (73%), difficulty in walking (55.7%) Presenting signs are reduced or absent DTR (84.6%) and blunting of sensation (75%) All four limb demyelinating neuropathy seen in 76.9% and LL>UL in other 11.5% cases. All four limb axonal degeneration seen in 11.5% cases while exclusively lower limb is involved in 23% cases
From our study we concluded that Factors affecting are old age (>55) male gender, underweight (BMI<18.5), height>5'7”, duration>5 years. Further studies for associated diseases are recommended. Common symptoms are tingling numbness and signs are blunting of sensations. Common type (>75%) of neuropathy is demyelinating distal symmetrical.
