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Incidence of Neurological Complication among the Diabetic Patients attending tertiary care hospital in India

Author: 
Irfan Gul, Shujat Gul, Aadil Ashraf, Asifa Ali, Sabreena Qadri, Malik Suhail and Paras Koushal
Subject Area: 
Health Sciences
Abstract: 

World Health Organisation estimates that 422 million adults aged over 18 years were living with diabetes in 2014 and the prevalence of diabetes mellitus has risen dramatically over the past two decades. Diabetes if not controlled causes severe neurological complication that impact significantly on quality of life Material and method: This was a hospital based cross sectional study, conducted among 616 diabetics. Patients with other potential causes of neurological disorders were excluded from study. After written consent, detailed History and neurological examination of patients was done. Patients were subjected to diabetic neuropathic symptom score (DNS), diabetic neuropathic examination (DNE) score, electro diagnostic studies (NCV) and other necessary investigation for evaluation of various neurological disorders. Results: Among 616 adult diabetic patients 42.53% were men out of which 93.67 % were Type 2 diabetic with mean age of 56.92 ± 7.96 year. The neurological disorders were present in 73.86%. Type 1 diabetes mellitus patients had higher prevalence of neurological disorders 79.49% compared to type 2 diabetic patients 73.48%.Diabetic neuropathy was the most common neurological complication and was found in 68.01% followed by stroke in 8.6%patients with ischemic (7.46%) > haemorrhagic (1.13%), Isolated cranial neuropathy(1.46%) patients, dementia (1.29%), parkinsonism (1.13%), Transient ischemic attacks (0.97%) and seizure disorder (0.81%).In 26.14% diabetic patients among studied patients there was no neurological complication Conclusion: Diabetics are prone to develop various neurological complications (73.86 %) and diabetic neuropathy being predominant (68.01%).thus all diabetic patients should undergo periodic neurological examination and all diabetic should be educated about the neurological complication by treating physician about neurological complication

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