Study of Diabetic Neuropathy among Telangana Population

Abstract

90 known diabetic patients (48 females 42 males) aged between 30–68 years old of Telangana region were studied. The regional classification of diabetic neuropathy was, distal symmetrical peripheral neuropthy were 32(35.5%) proximal neuropathy were 18(20%) cranial and truncal neuropathy were 12(13.3%). Mononeuropathy multiplex were 28(31.1%), the clinical manifestation were cardio vascular were 25(27.7%), included HTN-11(12.2%), tachycardia 9(10%) orthostatic hypotension 5(5.5%), Gastrointestinal were 27(30%) included oesophageal 6(6.6%), Gastroparesis 8(8.8%), Constipation 6(6.6%), diarrhea 7(7.7%). Genitourinary 23(25.5%) included Erectile dysfunction 7(7.7%), Neurognic bladder 10(11.1%), Cystopathy 6.(66%). Miscellaneous were 15 (16.6%) included sweating disturbance 6(6.6%), heat intolerance 5(5.5%), hypoglycemia 4(4.4%), Biochemical study included duration of D.M 1 to 4 year were 10(11.1%), 5 to 10 years were 32 (35.5%) more than 10 years were 48(53.3%), FBG-in 44(48.8%), patients had 197 to 210(mg/dl), 46(51.1%) patients had 211 to 232(mg/dl) HbA1c value in 42 (46.6%) patients had 8.89 to 9.10 (mg/d1) 48(53.3%)patients had 9.20 to 10.5(mg/dl). Total cholesterol in 41(45.5%) patients had 177 to 181 mg/dl, 49(54.4%) had 182 to 184 mg/dl. LDL levels in 38 (42.2%) patients 102 to 107 mg/dl. 52(57.7%) patients 108 to 111 mg/dl. Triglyceride level in 39(43.3%), was 149 to 152, 51(56.6%) patients had 153 to 158 mg/dl. Systolic BP in 46(51.1%) patients had 132 to 137 (mmHg) 44(48.8%) patients had 138 to 141(mmHg). Diastolic BP in 43 (mmHg) (47.7%) patient had 83.8 to 85.2 (mmHg) 47(52.2%) patients had 86 to 90 (mm/Hg). This study will b quite useful to endocrinologist, physician to correlate the regional DN and its clinical manifestation, bio-chemical study to rule out the severity of disease and treat the patients efficiently.