Prevalence of diabetic peripheral neuropathy using Michigan Neuropathy Screening Instrument (MNSI) in an urban population, in India
Abstract
Background: Diabetes mellitus (D.M.) is a significant public health problem worldwide. Diabeticperipheral neuropathy (DPN) is a microvascular complication of type 2 diabetes mellitus attributed tochronic hyperglycemia. It is defined as symptoms and/or signs of peripheral nerve dysfunction inpeople with diabetes after excluding other causes. Study was conducted to estimate Prevalence ofdiabetic peripheral neuropathy among type 2 diabetic patients in an urban population.
Methods:This study was conducted among patients attending Urban Health Centres, Belagavi in Karnataka,over four months. A total of 250 patients with more than six months of type 2 diabetes mellituswere screened using a questionnaire version of Michigan Neuropathy Screening Instrument (MNSI).
Results: Overall Prevalence of DPN among study participants based on MNSI was 35.2%. Based onMNSI assessment, 21.6% and 29.2% of participants scored≥ 7 in history section of questionnaireand ≥ 2.5 in physical examination section, respectively. Prevalence of DPN was significantly higheramong those with age more than 50 yrs and those with a history of either tobacco or alcoholconsumption. Prevalence of DPN was also higher among patients with HBA1c ≥ 7% and those with aduration of D.M.>10 years.
Conclusions: Use of MNSI as a screening tool in primary health caresetting could be a cost-effective means for early detection of DPN and to prevent diabetic footulcerations and infections.
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