Some factors related to diabetic peripheral polyneuropathy patient

  • Nguyen Thi Trinh Military Medical University
  • Nguyen Anh Tuan Hanoi Medical University
  • Nguyen Duc Thuan Military Medical Academy

Main Article Content

Keywords

Polyneuropathy, diabetes mellitus

Abstract

The progression of diabetes mellitus (DM) is always accompanied by chronic complications that damage multiple organs, leading to disability and even death. In which diabetic peripheral polyneuropathy is the most common complication, leading to many serious consequences. Many studies have shown that early diagnosis combined with good glycemic control and risk factors becomes the decisive strategy in the treatment of diabetic peripheral polyneuropathy. Objective: Analysis of some factors related to diabetic peripheral polyneuropathy. Subject and method: A cross-sectional study on 124 patients diagnosed with diabetic peripheral polyneuropathy at Bach Mai Hospital from July 2021 to July 2022. Result: The mean age of participants was: 64.86 ± 10.9 years, in which the proportion of men and women was 40.3% and 59.7%, respectively. Patients with moderate diabetic peripheral polyneuropathy accounted for the highest rate, 46.8%, mild lesion accounted for 34.7%, remaining 18.5% severe lesion. Some factors associated with the severity of diabetic peripheral polyneuropathy were age, BMI, DM duration, renal complication, retinal complication, and type of damage fiber. Conclusion: In our study, the percentage of patients with severe diabetic peripheral polyneuropathy was 18.5%. In which, there are six factors associated with the severity of diabetic peripheral polyneuropathy are age, BMI, DM duration, renal complication, retinal complication, and type of damage fiber.

Article Details

References

1. Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N et al (2019) Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice 157: 107843.
2. Candrilli SD, Davis KL, Kan HJ, Lucero MA, Rousculp MD (2007) Prevalence and the associated burden of illness of symptoms of diabetic peripheral neuropathy and diabetic retinopathy. Journal of Diabetes and its Complications 21(5): 306-314.
3. Feldman EL, Stevens MJ, Thomas PK, Brown MB, Canal N, Greene DA (1994) A practical two-step quantitative clinical and electrophysiological assessment for the diagnosis and staging of diabetic neuropathy. Diabetes Care 17(11): 1281-1289.
4. Young MJ, Boulton AJM, Macleod AF, Williams DRR, Sonksen PH (1993) A multicentre study of the prevalence of diabetic peripheral neuropathy in the United Kingdom hospital clinic population. Diabetologia 36(2): 150-154.
5. Trần Thị Nhật (2010) Nghiên cứu tỷ lệ biến chứng thần kinh ngoại vi ở bệnh nhân ĐTĐ tại Khoa Khám bệnh, Bệnh viện Bạch Mai. Trường Đại học Y Hà Nội Luận văn thạc sỹ y học.
6. Cao Thị Vân (2016) Biến chứng thần kinh ngoại vi ở bệnh nhân cao tuổi đái tháo đường type 2 và mối liên quan đến chất lượng cuộc sống. Luận văn thạc sỹ y học Trường Đại học Y Hà Nội.
7. Bansal D, Gudala K, Muthyala H, Esam HP, Nayakallu R, Bhansali A (2014) Prevalence and risk factors of development of peripheral diabetic neuropathy in type 2 diabetes mellitus in a tertiary care setting. Journal of diabetes investigation 5(6): 714-721.
8. Rani P, Raman R, Rachapalli S, Pal S, Kulothungan V, Sharma T (2010) Prevalence and risk factors for severity of diabetic neuropathy in type 2 diabetes mellitus. Indian journal of medical sciences 64(2): 51.
9. Amour AA, Chamba N, Kayandabila J, Lyaruu IA, Marieke D, Shao ER et al (2019) Prevalence, patterns, and factors associated with peripheral neuropathies among diabetic patients at tertiary Hospital in the Kilimanjaro Region: Descriptive cross-sectional study from north-eastern Tanzania. Int J Endocrinol 2019: 404781. doi: 10.1155/2019/5404781.
10. Nguyễn Thị Thu Hương (2014) Nhận xét tỷ lệ biến chứng thần kinh ngoại vi và các yếu tố nguy cơ ở bệnh nhân đái tháo đường type 2 mới phát hiện lần đầu tại Bệnh viện Bạch Mai. Luận văn Thạc sỹ y học Trường Đại học Y Hà Nội.
11. Liu X, Xu Y, An M, Zeng Q (2019) The risk factors for diabetic peripheral neuropathy: A meta-analysis. PloS one 14(2): 0212574.
12. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo Jr JL et al (2003) The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. Jama 289(19): 2560-2571.