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OBJECTIVE: To determine the frequency of sensory neuropathy in patients with typ2 2 diabetes mellitus PATIENTS AND METHODS: The study was carried out at hospital Hyderabad / Jamshoro, Any non-insulin dependent patient Type 2 DM) was assessed for inclusion into the study. A total of two hundred consecutive eligible patients were enrolled and evaluated according to prescribed proforma. The inclusion criteria were type 2 diabetes mellitus of any duration, reasonably intelligent who can nicely interpret sensory testing and mentally alert and oriented while the exclusion criteria were mentally not alert, failure to have co-operation during sensory examination, gross deformity and sensory loss of feet, edematous feet, an active ulcer, gangrene of feet and local trauma to feet. Patients were assessed for intactness, impairment or loss of touch and vibration sensation after explaining the feel of touch with monofilament on hand while the sense of vibration with tuning fork on forehead and sternum. RESULTS: Two hundred patients with type 2 diabetes were evaluated for this study. There were 63% females and 37% males. . In duration 1 – 3 years, 53.5% have no sense lost, 35.2% patients lost vibration sense while impaired touch and both senses lost were found to be 5.6% each. During 4 – 5 years the patient having no sense lost percentage decreased up to 43.2%, vibration sense lost remain almost the same around 35.1%, impaired touch sense increased upto 18.95 and both sense lost percentage decreased upto 2.7%. Duration 1-3 years showing 46.7% males having no sense lost, 40% have vibration sense lost, no patient recorded of impaired touch and males having both sense lost percentage is 13.3. 4–5 years category having figure 25% of no sense lost, 50% having vibration sense lost impaired touch both senses lost are of 12.5% each. CONCLUSION: The vibration sense loss increases with the increase in duration of disease and by realizing the facts we can educate the patients after picking up earlier the loss of vibration sense (as manifestation of sensory neuropathy) about tight glycemic control. KEYWORDS: Diabetes, Neuropathy and Sensory |
