Prevalence of Diabetic Peripheral Neuropathy among Type I Diabetes – An Observational Study

Diabetic peripheral neuropathy is a complication of Diabetes Mellitus and is the most common noncommunicable disease. It involves decreases in the sensations and Lower extremity strength leading to reduce dynamic stability in balance and postural control. The purpose of the study is to review the effects of sensory stimulation interventions on Balance and Postural control in Diabetic peripheral neuropathy. A systematic review was conducted following the centers for Goggle scholar, PUBMED and science direct database using the keywords Sensory Stimulation, Balance, Postural control, Diabetic neuropathy. The time frame of the search was from 2006 to 2021. The review resulted in search of 18 articles with duration from 1 day to 26 weeks with a total population of 1,422 diabetes Mellitus type I and type II patients from the year 2006 to 2021. There were strong evidences of effects of sensory stimulation on postural control and Balance with noticeable difference in DPN. Based on our analysis results, most of the study stated that Vibration, Plantar Massages, Kinesiotaping, Rocker shoe, Vibromedical insole, Conventional exercises with proprioception stimulation, Mechanical noise have shown significant difference on balance and postural control. Whereas, offloading devices did not show any remarkable variance. The currently existing studies require a clear recommendation on whether which intervention is more effective. Thus, longer duration studies are required to improve balance and postural control in Diabetic Neuropathy.

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Physiopathology of the diabetic bladder

Archivio Italiano di Urologia e Andrologia ◽

10.4081/aiua.2020.4.314 ◽

2020 ◽

Vol 92 (4) ◽

Author(s):

Tatiana Bolgeo ◽

Antonio Maconi ◽

Marinella Bertolotti ◽

Annalisa Roveta ◽

Marta Betti ◽

...

Keyword(s):

Peripheral Neuropathy ◽

Spina Bifida ◽

Type I Diabetes ◽

Pelvic Surgery ◽

Voiding Cystourethrography ◽

Diabetic Patients ◽

Type I ◽

Sensory Impairment ◽

Diabetic Cystopathy ◽

Urological Symptoms

Objective: To investigate the incidence of diabetic cystopathy in relation to age, gender, type of diabetes, duration of diabetic disease and clinical evidence of peripheral neuropathy and to analyze the physiopathology of the various forms of diabetic cystopathy due to sensory impairment, motor-sensory impairment, motor impairment and hyperreflexia. Materials and methods: In a retrospective multicenter cohort study the medical records of a cohort of 126 diabetic patients with (128 patients) or without (48 patients) urological symptoms were analyzed. Patients were observed at the Città di Alessandria Clinic of Policlinico di Monza and/or at the outpatient clinic of Alessandria Hospital from June 2018 to June 2020. The study excluded patients with central and/or peripheral neuropathy, spina bifida (mylomeningocele or meningocele) or spina bifida occulta; with persistent urinary infections; in anticholinergic treatment for enteric dysfunctions; in medical treatment for cervical-prostatic-urethral obstruction; with vaginal and/or rectal prolapse of II, III, IV degree; with previous spinal or pelvic surgery including radical prostatectomy, Wertheim hysterectomy or colorectal surgery. All the patients were studied with computed tomography (CT) scan of the urinary tract, voiding cystourethrography (VCUG), uroflowmetry, cystomanometry with intrinsic pressure assessment and compliance evaluation, electromyography (EMG) of the anal sphincter, pressure flow analysis, urethral pressure profile and, when advised, pharmacological tests.Results: Out of 126 diabetic patients, 48 did not show any signs or symptoms of urine voiding dysfunction; 30 were men and 18 women with an average age of 62.6 years; 20 had type I diabetes and were in treatment with insulin and 28 type II diabetes treated with oral hypoglycemic medication. The remaining 78 patients (48 men and 30 women), with an average age of 64.8 years, presented urological symptoms; 31 had type I diabetes and 47 had II type diabetes. Conclusions: Diagnosis of the various forms of diabetic cystopathy and early treatment decreases complications and consequently accesses to outpatient facilities and hospital admissions, resulting in an improved quality of life.

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Assessment of ulceration risk in diabetic individuals

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0337 ◽

2018 ◽

Vol 71 (suppl 2) ◽

pp. 733-739 ◽

Cited By ~ 2

Author(s):

Luz Marina Alfonso Dutra ◽

Maria Rita Carvalho Garbi Novaes ◽

Manuela Costa Melo ◽

Danyelle Lorrane Carneiro Veloso ◽

Dayane Leticia Faustino ◽

...

Keyword(s):

Risk Factors ◽

Peripheral Neuropathy ◽

Peripheral Arterial Disease ◽

Diabetic Peripheral Neuropathy ◽

Univariate Analysis ◽

Federal District ◽

Arterial Disease ◽

Type I ◽

Continuous Variables ◽

Peripheral Arterial

ABSTRACT Objective: To identify the risk factors for foot ulceration through the tracing of diabetic peripheral neuropathy and peripheral arterial disease in individuals with type I and II diabetes, who were assisted in reference centers of the Federal District, Brazil. Method: a cross-sectional and analytical study, with the assessment of 117 individuals in outpatient clinics of the Federal District. Continuous variables were compared through Mann-Whitney test, and categorized variables, through Chi-square test for univariate analysis and Logistics regression test for multivariate analysis. Results: painful diabetic peripheral neuropathy was present in 37 (75.5%) of the individuals with neuropathy. Deformities and loss of protective plant sensibility were related to neuropathy (p=0.014 and p=0.001, respectively). Of the 40 (34.2%) individuals in the sample who presented peripheral arterial disease, 26 (65%) presented calcification risk. Conclusion: signs of painful peripheral polyneuropathy, peripheral arterial disease, deformities, loss of protective plantar sensibility, and dry skin were identified as risk factors for ulceration.

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