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Study of neurological complications in relation to diabetes mellitus control and duration

Jaydev Mod, Karthik Natarajan, Ronak Modi, Mansur Ali, Hiren Parmar.


Abstract

Background: Diabetes mellitus (DM) is a leading cause of morbidity and mortality in all age groups in both developed and developing countries. It is associated with significant morbidity and reduces life complications. Among all complications, neurological complications are the chief destroyer and affect patients in the years of their greatest economical and social productivity.

Objectives: To evaluate all neurological complications of DM, to correlate the duration of DM with this neurological complication, and prevalence of the complications on the basis of control of DM.

Material and Methods: This study was conducted in a tertiary-care hospital. Fifty patients with DM were studied. Their detailed history, physical examination, and laboratory investigations were noted.

Result: In this study, total 50 patients [31 males (62%) and 19 females (38%)] were studied. In this study, 64% patients with neurological complication had DM for more than 10 years. Patients with DM having HbA1c value of >7.1 indicate poor control of DM.

Conclusion: Chronic neurological complications are observed more commonly in patients with type 2 DM as compared to those with type 1 DM. Neurological complications are more common with uncontrolled DM, which reflects poor glycemic control that in turn has an impact on neurological complications of DM.

Key words: Diabetes mellitus, Diabetic neuropathy, HbA1C






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