Saudi Journal of Medicine (SJM)
Volume-4 | Issue-04 | 305-308
Original Research Article
Correlation of Blood Sugar Level with Clinical Manifestation of Peripheral Neuropathy in Type 2 Diabetes Mellitus
Srinivas H. D, Padma Prasad M. R
Published : April 13, 2019
Abstract
During 5th & 6th century BC, sweet taste of urine in polyuric patient was described in Sanskrit (Indian) literature by Susruta, charaka, Vagbhata and the disease was named “Madhumeha”. They described that the urine of these patients tasted like honey (madhu), sticky to touch and Ants were strongly attracted to it. To correlate the blood sugar level with clinical manifestation of diabetic peripheral neuropathy in type 2 diabetes mellitus. The study includes all type 2 diabetic patients who attended the department of medicine, ADICHUNCHANAGIRI INSTITUTE OF MEDICAL SCIENCES. This study period was from JANUARY 2016 to DECEMBER 2016 with 100 sample size. Majority of patients were in the age group > 70years. Out of 100 patients studied, 50 patients were male and 50 patients were females. Peripheral neuropathy was more commonly seen in male (42 cases) compared to female (37 cases). Increased duration of diabetes had significant relation to Neuropathy. Out of the 100 diabetic neuropathy patients 18 patients had good control (18%) and 28 patients had fair control (28%) and 54 patient had poor control of blood sugars (54%). Symptoms pertaining to the involvement of the nervous system due to diabetes mellitus were further analyzed in all 100 cases. Sensory involvements were seen in 72 cases and motor involvement in 31 cases. Diabetic neuropathy is common complication of Diabetes mellitus. It is generally considered to be related to duration and severity of hyperglycemia, usually more than 50% of patients with the duration of diabetes of 25yrs or more are affected, making it as the most common disease of Nervous system. It is well known that Diabetes mellitus is rising in an epidemic proportion in Indian subcontinent, prevalence of Diabetic Neuropathy in type -2DM of this country was reported to be 17 to 19% and that of Automatic Neuropathy of 35% of peripheral neuropathy cases.