Diabetic peripheral neuropathy screening and the related risk factors to its prevalence in people with type 2 diabetes.

Autor: Sabaghan, Mohamad, Ataee, Shima, Ataee, Maryam, Tebyanian, Mahsa, Afrashteh, Sima, Daneshi, Nima
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Zdroj: International Journal of Diabetes in Developing Countries; Oct2023, Vol. 43 Issue 5, p641-646, 6p
Abstrakt: Background: Diabetes peripheral neuropathy commonly occurs among people with diabetes, accounting for a large portion of diabetes care cost. Early recognition and appropriate management of neuropathy in patients can help to improve symptoms, reduce sequelae, and increase the quality of life and preventive foot care. Due to the importance of timely detection of complications of diabetes, the present study was performed to screen patients and to identify neuropathy and factors affecting its development. Methods: The current study is a cross-sectional study conducted on 453 type 2 diabetes patients. To select participants, we used a multistage random sampling method. The participants were examined by physician in terms of signs of DPN and other complications. Results: The prevalence rate of DPN was 26.2%, of which 41.3% was in the high-risk group in terms of diabetic foot ulcer. Also, diabetic foot ulcers were diagnosed in 9.2% of them. On the other hand, in patients without DPN, 3.5% had diabetic foot ulcers. Of note, 79.8% of the patients with DPN were previously undiagnosed. In addition, age, duration of diabetes, HbA1c, hyperlipidemia, and hypertension were associated with prevalence of DPN. Conclusion: Despite the relatively low prevalence of neuropathy in this study, more than 79% of them were previously undiagnosed, indicating the importance of annual screening. On the other hand, delay in diagnosis of DPN can cause further harm to patients. Also, we can use changeable risk factors as treatment strategies for DPN. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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