Frequency of Peripheral Neuropathy among Patients of Type 2 Diabetes Mellitus by Using the Michigan Neuropathy Screening Instrument

ABSTRACT Background: Diabetic peripheral neuropathy is a common complication of type II diabetes mellitus. Chronic pain is the most common characteristic of neuropathy. It has a major impact on the quality of life of a person and usually, it is not managed satisfactorily. Moreover, there is no local study found in the literature that could help us in determining the extent of the problem in the local population. So, we conducted this study to get local evidence. To assess the frequency of peripheral neuropathy in patients with type II diabetes mellitus by using Michigan clinical diabetic neuropathic scoring. Methodology: It is a cross-sectional study conducted in the medical department of Services Hospital, Lahore for 6 months duration. A total of 207 cases fulfilling selection criteria were enrolled in the study. Patients were assessed for1peripheral neuropathy by using score MNSI. Questions regarding neuropathy were asked and recorded. Peripheral neuropathy was labelled if MNSI scores≥7. All the information was collected on proforma. Data was entered & analyzed into SPSS version-21. Results: The average age of the patient was 60.03±8.86years. There were 113 (54.59%) males and 94 (45.41%) female subjects. The mean HbA1c of patients was 12.17±3.72%. The mean MNSI score of patients was 754±4.28. In this study sample, there were 108 (52.17%) patients with peripheral neuropathy while 99 (47.83%) did not have peripheral neuropathy. Conclusion: There is a high incidence of peripheral neuropathy in diabetic patients in our local community. Keywords: peripheral neuropathy, type II diabetes mellitus, neuropathic scoring, HbA1c