Year: 2024 | Month: April-June | Volume: 9 | Issue: 2 | Pages: 217-211
DOI: https://doi.org/10.52403/ijshr.20240230
Prevalence of Neuropathy at Initial Diagnosis of Type-2 Diabetes Mellitus
Gunupati Sahithi1, Sai Pranavi Valmeti1, C. Shyamsundar1, Leela Sai Parnam1, E Ruchitha1, Tilak Ram1
1Department of General Medicine, Mediciti Institute of Medical Sciences, Ghanpur Medchal, Telangana-501401 (India)
Corresponding Author: Dr Tilak Ram
ABSTRACT
Background: This study was conducted to determine prevalence of neuropathy in first time detected asymptomatic type 2 diabetes mellitus (DM).
Method: A cross sectional descriptive study involving 300 patients was carried out over a period of 3 years at our Institute. All the recruited 300 patients underwent blood investigations for detecting and confirming diabetes mellitus. Neurological examination was carried out to find out evidence of neuropathy. Further evaluation was carried out to find out associated confounding conditions like hypertension, smoking and obesity.
Results: Out of 300 subjects recruited 165 were male and 135 were female. The mean age was 49.15 years and standard deviation was +/- 12.574. At initial presentation of newly detected diabetic patients prevalence of neuropathy was found to be 28%. HbA1c was found to have significant association with prevalence of diabetic neuropathy at the time of diagnosis of type 2 diabetes mellitus (p value .001). There was no significant association between diabetic neuropathy and other confounding factors like hypertension (p-value: 0.159), smoking (p value-0.712) and body mass index (p value: 0.858). There was no association between gender and prevalence of diabetic neuropathy.
Conclusion: There is high prevalence of diabetic neuropathy in newly diagnosed patients with type 2 diabetes mellitus. There is need for frequent health check-up including laboratory evaluation to detect diabetes mellitus in early stage so that diabetes mellitus can be detected and treated during presymptomatic stage and its complication are either prevented or treated early.
Keywords: Neuropathy, Diabetes Mellitus, Undiagnosed, Presymptomatic, Microvascular Complications