ESTIMATION OF PREVALENCE OF POLYNEUROPATHY IN TYPE 2 DIABETES MELLITUS BY NERVE CONDUCTION STUDY.

Dr. Sagar M. Tandel; Dr. Prakash V. Makwana; Dr. Manish N. Mehta

Volume : VI, Issue : VIII, August - 2016

ESTIMATION OF PREVALENCE OF POLYNEUROPATHY IN TYPE 2 DIABETES MELLITUS BY NERVE CONDUCTION STUDY.

Dr. Sagar M. Tandel, Dr. Prakash V. Makwana, Dr. Manish N. Mehta

Abstract :

India faces a grave health care burden due to high prevalence of type 2 diabetes and Indians are susceptible to the major diabetic complications. This is a comparative study between Diabetic and Non Diabetic patients for establishing prevalence of polyneuropathy through Nerve Electrophysiological study. This study aims to observe clinical and electrophysiological patterns of polyneuropathy in patients with type 2 diabetes and determine existence of an association between various patient parameters and neuropathy. This study revealed that 50% of diabetic patients have symptomatic neuropathy. Numbness (100%) is the commonest symptoms observed, while impaired viation sense (17.5%) is the commonest sign. Electrophysiologically, Distal Symmetrical Sensory neuropathy is the most common pattern (85 %), with Axonal sensory neuropathy (60%) being the commonest type. Abnormal NCS patterns are more commonly associated with poorer glycaemic control (3.33% in RBS < 200 mg / dl vs 46.66% in RBS 251–300 mg /dl).