{"id":5253,"date":"2023-03-28T12:22:59","date_gmt":"2023-03-28T10:22:59","guid":{"rendered":"https:\/\/www.jphres.org\/?p=5253"},"modified":"2023-04-02T14:07:34","modified_gmt":"2023-04-02T12:07:34","slug":"diabetic-peripheral-neuropathy-and-its-determinants-among-patients-attending-a-tertiary-health-care-centre-in-mangalore-india","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/450\/","title":{"rendered":"Diabetic peripheral neuropathy and its determinants among patients attending a tertiary health care centre in Mangalore, India"},"content":{"rendered":"
\n

Monisha D\u2019Souza<\/strong>(1)<\/sup>,\u00a0Vaman Kulkarni<\/strong>(2*)<\/sup>,\u00a0Unnikrishnan Bhaskaran<\/strong>(3)<\/sup>,\u00a0Humam Ahmed<\/strong>(4)<\/sup>,\u00a0Hegde Naimish<\/strong>(5)<\/sup>,\u00a0Anjali Prakash<\/strong>(6)<\/sup>,\u00a0Tabreez S<\/strong>(7)<\/sup>,\u00a0Bhanu Dahiya<\/strong>(8)<\/sup>,\u00a0Rekha Thapar<\/strong>(9)<\/sup>,\u00a0Prasanna Mithra<\/strong>(10)<\/sup>,\u00a0Nithin Kumar<\/strong>(11)<\/sup>,\u00a0Ramesh Holla<\/strong>(12)<\/sup>,\u00a0Darshan BB<\/strong>(13)<\/sup>,\u00a0Avinash Kumar<\/strong>(14)<\/sup><\/p>\n

1<\/i><\/sup>\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India<\/i>.<\/div>\n
2<\/i><\/sup>\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India<\/i>.<\/div>\n
3<\/i><\/sup>\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India<\/i>.<\/div>\n
4<\/i><\/sup>\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India<\/i>.<\/div>\n
5<\/i><\/sup>\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India<\/i>.<\/div>\n
6<\/i><\/sup>\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India<\/i>.<\/div>\n
7<\/i><\/sup>\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India<\/i>.<\/div>\n
8<\/i><\/sup>\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India<\/i>.<\/div>\n
9<\/i><\/sup>\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India<\/i>.<\/div>\n
10<\/i><\/sup>\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India<\/i>.<\/div>\n
11<\/i><\/sup>\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India<\/i>.<\/div>\n
12<\/i><\/sup>\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India<\/i>.<\/div>\n
13<\/i><\/sup>\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India<\/i>.<\/div>\n
14<\/i><\/sup>\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India<\/i>.<\/div>\n<\/div>\n
\n

Abstract<\/h2>\n

Background<\/em>. The burden of diabetes mellitus (DM) is on the rise especially in developing countries like India. Due to its chronic nature DM tends to cause many debilitating complications and diabetic peripheral neuropathy (DPN) is one of them. The aim of this study is to determine the prevalence of DPN among patients attending a tertiary care hospital and to identify the determinants associated with it.
\n
\nDesign and methods<\/em>. A cross sectional study was conducted in Government Wenlock Hospital, Mangalore (India), during January-February 2014. A total of 208 patients with >5 year duration of DM were asked to respond to the patient history version of Michigan Neuropathy Screening Instrument (MNSI) and examinations were conducted after obtaining consent from them. The statistical analysis was done in terms of descriptive statistics and association between variables was tested using logistic regression test.
\n
\nResults<\/em>. The prevalence of DPN using the MNSI history version and MNSI examination were found to be 18.3% and 32.2% respectively. The major determinants associated with DPN were found to be male gender (OR: 2.7, CI: 1.4-5.1, P=0.001), smoking (OR: 5.8, CI: 1.9-17.3, P=0.001) and age >40 years (OR: 2.7, CI: 1.2-5.8, P=0.011).
\n
\nConclusions<\/em>. The burden of undetected DPN was found to be higher among diabetics, with an especially higher prevalence among males, smokers and those with long standing diabetes mellitus. Interventions in the form of early detection through routine screening, smoking cessation and regular follow up examinations would go a long way in reducing the burden of disability among diabetics and improve their quality of life significantly.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Monisha D\u2019Souza(1),\u00a0Vaman Kulkarni(2*),\u00a0Unnikrishnan Bhaskaran(3),\u00a0Humam Ahmed(4),\u00a0Hegde Naimish(5),\u00a0Anjali Prakash(6),\u00a0Tabreez S(7),\u00a0Bhanu Dahiya(8),\u00a0Rekha Thapar(9),\u00a0Prasanna Mithra(10),\u00a0Nithin Kumar(11),\u00a0Ramesh Holla(12),\u00a0Darshan BB(13),\u00a0Avinash Kumar(14) 1\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India. 2\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India. 3\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India. 4\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India. … Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-5253","page","type-page","status-publish"],"yoast_head":"\nDiabetic peripheral neuropathy and its determinants among patients attending a tertiary health care centre in Mangalore, India - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/450\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diabetic peripheral neuropathy and its determinants among patients attending a tertiary health care centre in Mangalore, India - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"Monisha D\u2019Souza(1),\u00a0Vaman Kulkarni(2*),\u00a0Unnikrishnan Bhaskaran(3),\u00a0Humam Ahmed(4),\u00a0Hegde Naimish(5),\u00a0Anjali Prakash(6),\u00a0Tabreez S(7),\u00a0Bhanu Dahiya(8),\u00a0Rekha Thapar(9),\u00a0Prasanna Mithra(10),\u00a0Nithin Kumar(11),\u00a0Ramesh Holla(12),\u00a0Darshan BB(13),\u00a0Avinash Kumar(14) 1\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India. 2\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India. 3\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India. 4\u00a0Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore,\u00a0India. ... 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