Clinical and Electro Physiological Pattern of Peripheral Neuropathy in Patients with Diabetes

Abstract

Background
Diabetes mellitus is most prevalent non communicable disease across all social strata in India and is debilitating, with complications that produce severe morbidity and mortality in people. Diabetic neuropathy is common and very severe complication deserving due prompt recognition and care. The study was undertaken to find out positive correlation of peripheral neuropathy severity and duration of diabetes.
Objectives
To evaluate the positive correlation of peripheral neuropathy severity and duration of diabetes
Methodology
A prospective study of diabetic peripheral neuropathy patients admitted in OP and IP of SMCH between January 2019 to February 2019
?To study the clinical pattern of peripheral neuropathy in diabetic patients
?To study the CMAP and SNAP amplitudes and latency of peripheral nerves in lower limbs
?To study the f minimum latency of peripheral nerves in lower limbs
?To correlate the electrophysiological outcome with duration of diabetes
Results
This study shows that the neuropathic involvement increases with age of the subjects. Sensory axonopathy occurs earlier by motor and sensory axonopathy. There is no significant sex predilection for pattern of neuropathy. So in our study, there is obvious involvement of sensory neuropathy in the form of axonopathy with decreased amplitude and NC.
Conclusion
The most common pattern of involvement of neuropathy in our study subjects were sensory or sensorimotor axonal neuropathy. The severity of neuropathy increased with the age of the patient.