Assistant Professor, Department of General Medicine, Mallareddy Medical College for Women (MRMCW), Jeedimetla, Hyderabad, Telangana
*Corresponding Author: Dr. Visala V. Nanduri, Assistant Professor, Department of General Medicine, Mallareddy Medical College for Women (MRMCW), Jeedimetla, Hyderabad-500055, Telangana, Phone: 7032910420, Email: visalananduri@hotmail.com
Online published on 11 July, 2019.
Diabetic peripheral neuropathy (DPN) predisposes to foot ulceration and gangrene. It has been reported that DPN is lower in Indians relative to Caucasians. Studies among recent onset patients with type 2 diabetes mellitus (T2DM) are very few. We studied the prevalence and risk factors of DPN in patients with newly diagnosed T2DM.
We prospectively studied 80 consecutive patients over age 30 with a duration of diabetes ≤1 year. All underwent a clinical and biochemical evaluation and were screened for DPN using TCSS scale
(Toronto clinical scoring system) and Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) pain scale.
The cases had a mean age of 60.28 years and duration of symptoms of DM is <1 year 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.
Our study showed high prevalence of PN in recently diagnosed patients with T2DM, 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.
Diabetic Peripheral Neuropathy, Newly Diagnosed, Type 2 Diabetes Mellitus
