Comparison between the clinical symptoms of peripheral neuropathy inflammation and nervous planning results in (type II) diabetes patients


Diabetes mellitus is one of the most chronic diseases that is widely spread all over the worldand affects all age groups. The disease has a vast potential to affect almost every body organ,especial the peripheral nerves, which causes high mortality rates from disease complications.These complications cause damage in the organs of the body including the nerves located inthe limbs that generate an intense heat resulting from the destruction of nerve fibers inaddition to the acute pain resulting from the effect of diabetes in those nerves. This study wasdesigned to determine the sensitivity of those nerves by displaying the results of nerveconduction study for patients and compared it with their clinical examination to determinethe severity of numbness and assess the level of pain in the upper and lower limbs. The studywas carried out at the Diabetes and Endocrinology Center in Al-Sader Medical City in AlNajaf governorate and it included following up the case of (78) patients with diabeticperipheral neuropathy, (32) men and(46)women their ages ranging between(35-68) year andthey were divided into three age groups ,the study was began from 5/9/2014 until 7/4/2015.The study excluded the patients with peripheral neuropathy but have foot ulceration becausethe nerve conduct system (SUDOSCAN REPORT) was used in the current study, cannotperform nerve conduction study for patients with foot ulceration also smokers and thepatients who taking treatment for diabetic peripheral neuropathy. During this study theclinical examination for patients was performed and compared with the nerve conductionresults of them , also all the information related with the history of patients were recorded .The present study has shown a significant difference (P <0.05) between the clinical tests ofthe patients who were tested by tuning fork as while as nerves needle test and between nerveconduction study for both sexes were included in the study. The results of the study did notshow any significant difference(P>0.05) when compared the results of nerve conduction65 2017 1 22study among the different age groups for males. For females however, there was a significantdifference (P<0.05) among the different age groups. When compared the glycosylatedhemoglobin (HbA1c) levels over the past three months, there were no significant differences(P>0.05) for males and females . The results of the current study did not reveal a significantdifference (P>0.05) between the body mass index among males, but it noticed a significantdifference (P<0.05) among females with peripheral diabetic neuropathy.