Abstract Issue

Volume 11 Issue 1 (January-March) 2022

Original Articles

A comparative analysis of the scoring system used for examining Diabetic Neuropathy and the measurement of Nerve Conduction Velocity in patients with Diabetic Neuropathy
Dr. Vipin Kumar Jain

Aim: A comparative analysis of the scoring system used for examining Diabetic Neuropathy and the measurement of Nerve Conduction Velocity in patients with Diabetic Neuropathy. Material and Methods: The research included individuals with diabetes who were either receiving outpatient or inpatient care and had concerns related to diabetic neuropathy. The patients had a comprehensive evaluation, including a thorough medical history, a full physical examination, and electrophysiological testing. Fifty patients diagnosed with type 2 diabetes mellitus had a comprehensive assessment of their medical history and physical examination, followed by the determination of their DNE scores. The investigations conducted included CBC, ESR, MCV, FBS, PP, HbA1C, Urine, serum creatinine, and NCV Study. Result: The neurologic signs were observed and graded based on the DNE score. The scoring was divided into 0, 1, and 2. The score 0, represents the absence of the sign while 1 and 2 indicate the presence of neuropathy. The quadriceps signs showed that 35 participants did not present with the sign while 3participant has a score of 2 and 12 participants had 1 score. The T-Anterior results showed that 25 participants scored 0, while 15 participants scored 1 and 10 participants scored 2. Based on the ankle reflex, 17 participants scored 0, while 10 of them scored 1 and 23 of them scored 2. The sign of pinprick big toe results showed that about 9 participants presented with 0, while 29 participants scored 1 and 12 participants scored 2. The pinprick index results showed that 12 participants scored 0, while 27 participants scored 1 and 11 participants scored 2. The grading of diabetes neuropathy was divided into three grades. According to the diabetic neuropathy examination, 26 respondents were in first grade, 19 were in second grade and 5 respondents were graded three. According to NCV grading, 25 participants have graded I, 21 participants were graded II and 4 participants were graded III. Conclusion: Diabetic Neuropathy is a prevalent complication that arises from having diabetes for a long time and is associated with the length of diabetes and inadequate management of blood sugar levels. Early diagnosis may be attained via conducting a comprehensive clinical examination, which is cost-effective and straightforward.

 
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