A study to assess the efficacy of metabolic control of diabetes in the development of neuropathy

Abstract

Background: The metabolic syndrome is a deadly combination of hypertension, diabetes, heart disease, and dyslipidemia due to abdominal obesity. The causes this is both bad genes and bad environment. The objective of this study was to assess the efficacy of metabolic control of diabetes in the development of neuropathy.Methods: The present hospital based cross sectional study was conducted at MNR Medical College and Hospital, Sangareddy. The study was undertaken between October 2012 to May 2014 both in inpatient and outpatient department. Diabetic patients seeking consultation for the symptoms suggestive of neuropathy were screened and labeled as suffering from diabetic neuropathy based on the inclusion and exclusion criteria.Results: Diabetic neuropathy was common in the age group of 56 to 65 years in both male and female (33.3%). Average duration of diabetes was 8.7 years. Overall the rate of irregularity was much more (78%). Maximum (78%) patients reported presence of sensory symptoms. Diminision or loss of both ankle jerks was present in all 60 cases while 28 patients showed sluggish or absent knee jerks in total 60 patients. Maximum patients (60%) had distal symmetrical neuropathy.Conclusions: Longstanding diabetes and poor glycaemic control are particularly associated with an increased risk of neuropathy in diabetes mellitus.