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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado
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2011, Number 2

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Rev Esp Med Quir 2011; 16 (2)

Prevalence of peripheral neuropathy in patients with type 2-diabetes mellitus assisted at Hospital Clinic, ISSSTE in Mazatlan, Sinaloa

Camacho LJ
Full text How to cite this article

Language: Spanish
References: 6
Page: 71-74
PDF size: 329.06 Kb.


Key words:

diabetes mellitus, peripheral neuropathy, neurological examination of diabetic foot.

ABSTRACT

Objective: To determine the prevalence of peripheral neuropathy in type 2 diabetic patients treated at the Clinical Hospital of ISSSTE in Mazatlan, Sinaloa, and its association with age, evolution and degree of metabolic control.
Patients and method: We studied 207 outpatients from family medicine. A screening questionnaire about diabetic neuropathy and neurological physical examination were conducted in search of peripheral neuropathy, as well as a measuring of fasting glucose, glucose postprandial and glycated hemoglobin (HbA1c).
Results: None of the patients had ever undergone neurological examination of the diabetic foot. The prevalence of peripheral neuropathy was 54.5%, and according to evolution of diabetes mellitus the prevalence of diabetic neuropathy increased, showing a positive correlation between peripheral neuropathy and the evolution of the disease, and between peripheral neuropathy and the patient's age.
Conclusions: The prevalence of peripheral neuropathy in diabetic patients is high. Time since diagnosis and patient age are factors that correlate with the presence and severity of peripheral neuropathy. It requires that health workers attending diabetic patients include a neurological routine examination of diabetic foot and its care.


REFERENCES

  1. American Diabetes Association, Standards of Medical care in Diabetes 2009. Diabetes care, 2009;32(suppl 1).

  2. González-Chávez A, Lavalle-González FJ, Ríos González JJ. Síndrome metabólico y enfermedad cardiovascular. 3ª ed. México: Intersistemas Editores; 2009:141,153,209,255,463.

  3. Aliss-Namur JA, Cervantes-Rodríguez MZ, Ibarra-Olmos A, González-Bárcena D. Prevalencia de neuropatía periférica en diabetes mellitus. Acta Médica Grupo Ángeles 2006;4(1).

  4. Marinel Lo Roura J. Tratado del pie diabético. Centro de documentación del grupo Esteve. Madrid: Jarpyo Editores, 2002.

  5. Ur E. Definition, classification and diagnosis of diabetes and other dysglycemic categories. Canadian Diabetes Association Clinical Practice Guideline Expert Committee, Clinical Practice Guidelines 2008.

  6. Alpizar-Salazar M. Guía para el manejo integral del paciente diabético. México: El Manual Moderno; 2001:148-164.




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Rev Esp Med Quir. 2011;16