Rajiv Kumar Jaiswal
Esani Diabetes and Mutlispeciality Research Centre, India
Title: A practical approach on Evaluation of Diabetic Peripheral Neuropathy: a review
Biography
Biography: Rajiv Kumar Jaiswal
Abstract
Diabetes mellitus is not only characterized by hyperglycemia but it is a clinical syndrome associated with hyperglycemia, which may lead to chronic debilitating problem such as peripheral neuropathy (PN). This review was done to emphasise the importance of diagnosing PN in a clinical setting as PN is characterised by pain and discomfort in lower extremities, loss or absence of protective sensations in the lower limbs which can lead to balance problems, and these patients are at risk of foot ulcerations, and a reduced quality of life in adults with type 2 diabetes. Several methods are available for the evaluation of both subjective and objective measures of peripheral nerve functions. Vileikyte et al. designed a specific scale for neuropathic patients in especially Type 2 diabetes with an aim to measure the problems of foot and its impact of DPN on quality of life. Nabuurs- Franssen et al., in 2005 has described that patients with healed ulcers had a better quality of life than patients with persisting ulcers It is of utmost importance to understand that evaluating PN as a routine practice in a simple way may also play a vitally important role in preventing foot ulcers or fall-related morbidity and mortality in adults with type 2 diabetes. At present there is a need for a trial to address the current situation of DPN in India, where the quality of life of patients with DPN in/or response to a therapy remains to be evaluated.