Volume : V, Issue : VIII, August - 2015

THE ROLE OF ELECTRODIAGNOSIS IN THE EVALUATION OF SUBCLINICAL DIABETIC NEUROPATHY

Dr. W. Maruthi, Dr. Ch. Ramakrishna Rao

Abstract :

Introduction.Diabetic neuropathy is now the most common neuropathy in the developed and developing world. The clinical course of neuropathy parallels the duration and severity of hyperglycemia. Glycemic control is directly related to the progression of diabetic neuropathy in both type 1 and type 2 diabetes. Diabetic neuropathy can be classified into two stages or classes, subclinical (class I) and clinical (class II).The subclinical neuropathy is diagnosed by electrodiagnostic tests, quantitative sensory tests, and autonomic function tests. The nerve conduction studies are well accepted for the evaluation of diabetic neuropathy. Methods. The present study was conducted from October, 2014 to May, 2015 at Sri Satya Sai Neuro Centre, Vijayawada, Andhra Pradesh, in collaboration with Neurologist. A total of 41 patients including both male and female subjects in the age range of 40 years to 55 years were selected for the study with the duration of diabetes ranging from 2 to 2½ years. Since the median nerve is the most common peripheral nerve involved in the diabetes, motor nerve conduction study of the median nerve is chosen for the present study.Results.Out of the total 82 hands, 73 hands revealed prolonged median distal motor latency and 9 hands revealed normal values. Out of the total 41 patients, abnormal median distal motor latencies are observed in both the hands of 32 patients and in at least one hand of all the remaining 9 patients indicating that all the patients under study are having abnormal parameters. It is to be reiterated that all the 41 subjects are asymptomatic in so far as neuropathy is concerned. Discussion.The present study reveals alteration in the electrophysiological parameters of median nerves in the diabetics who are not having any symptoms suggestive of overt neuropathy. Conclusions. This present study revealed that the nerve conduction studies are invaluable aids to diagnose the presence or otherwise of the subclinical neuropathy in diabetics and thereby suggesting the fact that the aggressive management of hyperglycemia might suggest an important strategy to control the occurrence of manifest neuropathy in the diabetic populations.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.W.Maruthi, Dr.Ch.Ramakrishna Rao The Role of Electrodiagnosis in The Evaluation of Subclinical Diabetic Neuropathy Indian Journal of Applied Research, Vol.5, Issue : 8 August 2015

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