Prevalence and Characteristic of Diabetic Peripheral Neuropathy in Patients with Type 2 Diabetes Mellitus at National Diabetes Hospital in Tripoli- Libya 2016

Abstract

DPN is the most common form of the diabetic neuropathies. The current study aimed to determine the prevalence of
DPN and the clinical feature in patients with DMII. The case serious study had been conducted in Tripoli Diabetic
Hospital from June 2015 until Jan 2016, total number of admitted patients with DM II were 712, one hundred patients
who were diagnosed as type 2 DM with DPN were selected for the study. Verbal consent taken, a special Performa
was completed for every patient, that included detailsabout patient’
s demographics, some important points in clinical
history, relevant investigations and clinical examination were recorded.
The study reported 100 patients, 76% of them was female, their age range was between 40-87years with mean age
62.45±11.34years, the duration of diabetes ranged from newly diagnosed to 40 years with mean 12.7±9.5years,17% of
them have morbid obesity (BMI>40), 76% have neuropathy symptoms, 84% were non-smoker,40%are hypertensive,
34%are on treatment of lipid lowering drugs, 2%have RT foot ulcer, 8%have absent foot pulse (RT or LT or both),
only 2(2%) are amputated ,this study shown a prevalence of neuropathy was14% and DPN were commoner at age
group between (51-61 ) about 32%, in taller patients (>1.5 m ),obese 44%,with duration >11 years ,non-hypertensive
,symptomatic (> 76% ), on insulin treatment (59%), on dys-lipidemia therapy 66%, with feet pulses felt in 92%,
poorly controlled DM (HBA1C >9%) were 54%. DPN were not related with TGA level, and presence of proteinurea, or feet ulcer.
Many character feature with development of DPN, there are strong association between development of peripheral
neuropathy and age of the patients and duration of diabetes.