The risk of peripheral neuropathy among persons with diabetes residing in selected villages at Thiruvallur district, Tamil Nadu, India
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Author:
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R.FAUSTINA PAVITHRA, DR.ARUNA.S, DR. RAJARAJESWARI KUPPUSWAMY
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Abstract:
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Background: Peripheral neuropathy is the most frequent micro vascular complication of diabetes mellitus. This study was conducted to assess the risk of peripheral neuropathy and its related factors among persons with diabetes residing in selected villages of Thiruvallur district.
Methods: A descriptive cross-sectional study was conducted on 215 participants’ from9 villages catered by Rural Health and Training Centre of Sri Ramachandra Institute of Higher Education and Research (DU), Tamil Nadu. Face to face interview was used for data collection. The Michigan Neuropathy Screening Instrument (MNSI) was used to identify the risk of peripheral neuropathy.
Results: MNSI history questionnaire showed that, 56.3% (121) of clients were at risk and 43.7 %(94) of them were normal. MNSI physical examination result revealed that 62.3 % (134) of them were at risk (2.6-10) and 37.7% (81) of them were normal (0-2.5). Common reported symptoms were muscle cramps (56%)Excessive fatigability (36.4%) and 39% expressed that symptoms worse at night. 39.1% perceived that there was loss of sensation in legs/feet while walking. Prickling sensation was reported by least number of people(6.2%), 12% had history of amputation and diagnosed to have diabetic neuropathy. Logistic regression showed that age, sex, socio economic status, family history of DM, education status and occupation were significantly connected with risk of peripheral neuropathy.
Conclusion: Risk of peripheral neuropathy was common among rural residents with diabetes. Risk of peripheral neuropathy was associated to age, sex, socio economic status, family history of DM, education status and occupation. Rural people with diabetes have to undergo regular checkup for early identification of peripheral neuropathy and appropriate intervention.
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Keyword:
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Diabetic peripheral neuropathy, India, Prevalence
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EOI:
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-
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DOI:
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https://doi.org/10.31838/ijpr/2020.12.04.370
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