Ezz Eldeen, E., Eldahshan, N., Heissam, K., Mohamed, E. (2015). Prevalence of Distal Symmetric Diabetic Neuropathy among Type 2 Diabetic Patients in Suez Canal University Hospital Outpatient Clinics in Ismailia. Suez Canal University Medical Journal, 18(1), 74-83. doi: 10.21608/scumj.2015.44469
Eman Ezz Eldeen; Nahed A Eldahshan; Khaled S Heissam; Enas H Mohamed. "Prevalence of Distal Symmetric Diabetic Neuropathy among Type 2 Diabetic Patients in Suez Canal University Hospital Outpatient Clinics in Ismailia". Suez Canal University Medical Journal, 18, 1, 2015, 74-83. doi: 10.21608/scumj.2015.44469
Ezz Eldeen, E., Eldahshan, N., Heissam, K., Mohamed, E. (2015). 'Prevalence of Distal Symmetric Diabetic Neuropathy among Type 2 Diabetic Patients in Suez Canal University Hospital Outpatient Clinics in Ismailia', Suez Canal University Medical Journal, 18(1), pp. 74-83. doi: 10.21608/scumj.2015.44469
Ezz Eldeen, E., Eldahshan, N., Heissam, K., Mohamed, E. Prevalence of Distal Symmetric Diabetic Neuropathy among Type 2 Diabetic Patients in Suez Canal University Hospital Outpatient Clinics in Ismailia. Suez Canal University Medical Journal, 2015; 18(1): 74-83. doi: 10.21608/scumj.2015.44469
Prevalence of Distal Symmetric Diabetic Neuropathy among Type 2 Diabetic Patients in Suez Canal University Hospital Outpatient Clinics in Ismailia
Department of Family Medicine, Faculty of Medicine, Suez Canal University, Egypt
Abstract
Background: The World Health Organization describes diabetes mellitus as the most common endocrine disease in the world. Diabetes mellitus is the most common cause of neuropathy worldwide. About 25–50% of diabetic patients in developed countries have peripheral polyneuropathy. Prolonged B12 deficiency can lead to nerve degeneration and irreversible neurological damage. Aim: This study was conducted aiming at assessing the prevalence of peripheral neuropathy among type 2 diabetic patients attending Suez Canal University Outpatient clinics. A secondary objective of the study was to identify the relation between vitamin B and diabetic neuropathy. Patients and Methods: A convenience sample was used in this cross sectional study, which was conducted in Suez Canal University Outpatient clinics. A total of 362 type 2 diabetic patients, responded to questionnaire and screening examination, using the Michigan Neuropathy Screening Instrument (MNSI). Results: The present study showed that the mean age was 55.12 ± 9.26 and about 81.2% of the study population were females. More than, two-thirds (69.1%) were married. In addition, about 37%, had diabetes for over 10 years. The study revealed that 34% of the study population had peripheral neuropathy according to Michigan score results. The most frequent symptom was numbness (83.4 %). Vibration perception was absent in half of patients. Nearly monofilament was absent in one-third (34.5%) of patients. As regards vitamin B12 supplements, the results revealed that about 87.1% of neuropathic patients had taken vitamin B12. Conclusion: The result of the present study concluded that peripheral neuropathy is a very common problem in diabetic patients, which accounts 34% in our study.
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