Peripheral Neuropathy among Newly Diagnosed Type 2 Diabetes at Klinik Kesihatan Bandar Kota Bharu, Kelantan
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Date
2012
Authors
Azura, Mat Seman
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Pengajian Sains Perubatan Universiti Sains Malaysia
Abstract
Introduction: Diabetic foot is one of the most serious complications of diabetes
leading to poor quality of life even a higher risk of mortality. Diabetic patients with
peripheral neuropathy are at a higher risk of developing foot infection and ulcer. It causes a
major source of morbidity, a leading cause of hospital bed occupancy and account for
substantial health care, costs and resources. The onset of T2DM is often preceded by a long
period of unrecognized metabolic abnormality, because of this reason; neural dysfunction can
likely be detected at the time when the diabetes is diagnosed. All patients who are newly
diagnosed for diabetes should be screened for loss of protective sensation to identify those at
risk of foot ulceration. This enables the physician to design a treatment plan to determine
patients’ risk of developing diabetic foot and amputation.
Objectives: To study the effectiveness of weekly compared with daily iron
supplementation among mild anemic pregnant women.
Methods: This was a cross sectional study. A set of case report form (CRF) was
completed by 254 newly diagnosed type II diabetes attended outpatient health clinic from
July 2009 until June 2010. The CRF was divided into 4 sections. The Section 1 consisted of
socio demographic data; section 2 was patient’s parameter such as blood pressure, heart rate,
height, weight and body mass index while section 3 consisted of clinical finding of Fundus
Camera, ECG and Monofilament Testing. Section 4 consisted of blood investigation results.
Other information such as IHD, other illnesses and type of medication were taken from
patient’s medical record and the data was filled up by the researcher.
Results: The prevalence of peripheral neuropathy among newly diagnosed type II
diabetes was 8.3%. The significant associated factors that contributed to the development of
peripheral neuropathy were age of the patients and the presence of retinopathy.
Conclusion: The prevalence of peripheral neuropathy among newly diagnosed type II
diabetes was high. The detection of the peripheral neuropathy should be done to all type II
diabetic patients at diagnosis so that the preventive measures could be taken to prevent
diabetic foot disease.
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Keywords
Family Medicine