Factors Associated with Diabetic Peripheral Neuropathy in Individuals Having Type-2 Diabetes Mellitus: A Retrospective Cross-sectional Hospital-based Study

Background: Diabetic peripheral neuropathy (DPN) is a well-known microvascular complication of type 2 diabetes mellitus (T2DM), attributed to chronic hyperglycaemia. It is defined as the presence of peripheral nerve dysfunction in diabetics after excluding other causes. Objectives: The objective of...

Full description

Saved in:
Bibliographic Details
Main Authors: V. Ramamoorthy, T. Naga Indra, Suvetha Kannappan, G. Sangeetha, S. Kaleeswaran
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-02-01
Series:Indian Journal of Physical Medicine & Rehabilitation
Subjects:
Online Access:https://journals.lww.com/10.4103/ijpmr.ijpmr_74_24
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849389732580032512
author V. Ramamoorthy
T. Naga Indra
Suvetha Kannappan
G. Sangeetha
S. Kaleeswaran
author_facet V. Ramamoorthy
T. Naga Indra
Suvetha Kannappan
G. Sangeetha
S. Kaleeswaran
author_sort V. Ramamoorthy
collection DOAJ
description Background: Diabetic peripheral neuropathy (DPN) is a well-known microvascular complication of type 2 diabetes mellitus (T2DM), attributed to chronic hyperglycaemia. It is defined as the presence of peripheral nerve dysfunction in diabetics after excluding other causes. Objectives: The objective of this study was to determine the factors associated with DPN in individuals with T2DM. Materials and Methods: This facility-based cross-sectional study was conducted using 81 records of diabetic patients who attended the Podiatry Clinic, Department of Physical Medicine and Rehabilitation at PSGIMSR, Coimbatore. Data were collected using a semi-structured questionnaire. The data were entered into MS Excel and analysed using SPSS software version 28.0. Appropriate descriptive and inferential statistics were used, with P < 0.05 considered significant. Results: The mean age of the participants is 56 years, with approximately 57% being male. Approximately 67.9% were taking antidiabetic drugs alone, 19.8% were using both antidiabetic drugs and insulin and 12.3% were on insulin alone. Smoking was reported by 14.8% of the participants, and 3.7% had a habit of alcohol consumption. About 59.3% had hypertension. DPN was found in 30.9%, with polyneuropathy being the most common form (92%). Age, gender, body mass index, duration of diabetes, smoking and alcohol consumption were not associated with DPN. Multivariate logistic regression analysis indicated that participants who were on insulin treatment (indicative of severe disease) and who had hypertension were significantly associated with DPN. Conclusion: About 31% of the patients were affected by DPN, with a greater risk seen in individuals managing their diabetes with insulin, which is indicative of severe disease and those with hypertension. Regular DPN screening and optimal management of blood sugar and blood pressure are essential for patients with diabetes.
format Article
id doaj-art-13e1315090844192b508fc4caa5be7d6
institution Kabale University
issn 0973-2209
2949-8058
language English
publishDate 2025-02-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Physical Medicine & Rehabilitation
spelling doaj-art-13e1315090844192b508fc4caa5be7d62025-08-20T03:41:52ZengWolters Kluwer Medknow PublicationsIndian Journal of Physical Medicine & Rehabilitation0973-22092949-80582025-02-01351444710.4103/ijpmr.ijpmr_74_24Factors Associated with Diabetic Peripheral Neuropathy in Individuals Having Type-2 Diabetes Mellitus: A Retrospective Cross-sectional Hospital-based StudyV. RamamoorthyT. Naga IndraSuvetha KannappanG. SangeethaS. KaleeswaranBackground: Diabetic peripheral neuropathy (DPN) is a well-known microvascular complication of type 2 diabetes mellitus (T2DM), attributed to chronic hyperglycaemia. It is defined as the presence of peripheral nerve dysfunction in diabetics after excluding other causes. Objectives: The objective of this study was to determine the factors associated with DPN in individuals with T2DM. Materials and Methods: This facility-based cross-sectional study was conducted using 81 records of diabetic patients who attended the Podiatry Clinic, Department of Physical Medicine and Rehabilitation at PSGIMSR, Coimbatore. Data were collected using a semi-structured questionnaire. The data were entered into MS Excel and analysed using SPSS software version 28.0. Appropriate descriptive and inferential statistics were used, with P < 0.05 considered significant. Results: The mean age of the participants is 56 years, with approximately 57% being male. Approximately 67.9% were taking antidiabetic drugs alone, 19.8% were using both antidiabetic drugs and insulin and 12.3% were on insulin alone. Smoking was reported by 14.8% of the participants, and 3.7% had a habit of alcohol consumption. About 59.3% had hypertension. DPN was found in 30.9%, with polyneuropathy being the most common form (92%). Age, gender, body mass index, duration of diabetes, smoking and alcohol consumption were not associated with DPN. Multivariate logistic regression analysis indicated that participants who were on insulin treatment (indicative of severe disease) and who had hypertension were significantly associated with DPN. Conclusion: About 31% of the patients were affected by DPN, with a greater risk seen in individuals managing their diabetes with insulin, which is indicative of severe disease and those with hypertension. Regular DPN screening and optimal management of blood sugar and blood pressure are essential for patients with diabetes.https://journals.lww.com/10.4103/ijpmr.ijpmr_74_24diabetic peripheral neuropathyhypertensiontype 2 diabetes mellitus
spellingShingle V. Ramamoorthy
T. Naga Indra
Suvetha Kannappan
G. Sangeetha
S. Kaleeswaran
Factors Associated with Diabetic Peripheral Neuropathy in Individuals Having Type-2 Diabetes Mellitus: A Retrospective Cross-sectional Hospital-based Study
Indian Journal of Physical Medicine & Rehabilitation
diabetic peripheral neuropathy
hypertension
type 2 diabetes mellitus
title Factors Associated with Diabetic Peripheral Neuropathy in Individuals Having Type-2 Diabetes Mellitus: A Retrospective Cross-sectional Hospital-based Study
title_full Factors Associated with Diabetic Peripheral Neuropathy in Individuals Having Type-2 Diabetes Mellitus: A Retrospective Cross-sectional Hospital-based Study
title_fullStr Factors Associated with Diabetic Peripheral Neuropathy in Individuals Having Type-2 Diabetes Mellitus: A Retrospective Cross-sectional Hospital-based Study
title_full_unstemmed Factors Associated with Diabetic Peripheral Neuropathy in Individuals Having Type-2 Diabetes Mellitus: A Retrospective Cross-sectional Hospital-based Study
title_short Factors Associated with Diabetic Peripheral Neuropathy in Individuals Having Type-2 Diabetes Mellitus: A Retrospective Cross-sectional Hospital-based Study
title_sort factors associated with diabetic peripheral neuropathy in individuals having type 2 diabetes mellitus a retrospective cross sectional hospital based study
topic diabetic peripheral neuropathy
hypertension
type 2 diabetes mellitus
url https://journals.lww.com/10.4103/ijpmr.ijpmr_74_24
work_keys_str_mv AT vramamoorthy factorsassociatedwithdiabeticperipheralneuropathyinindividualshavingtype2diabetesmellitusaretrospectivecrosssectionalhospitalbasedstudy
AT tnagaindra factorsassociatedwithdiabeticperipheralneuropathyinindividualshavingtype2diabetesmellitusaretrospectivecrosssectionalhospitalbasedstudy
AT suvethakannappan factorsassociatedwithdiabeticperipheralneuropathyinindividualshavingtype2diabetesmellitusaretrospectivecrosssectionalhospitalbasedstudy
AT gsangeetha factorsassociatedwithdiabeticperipheralneuropathyinindividualshavingtype2diabetesmellitusaretrospectivecrosssectionalhospitalbasedstudy
AT skaleeswaran factorsassociatedwithdiabeticperipheralneuropathyinindividualshavingtype2diabetesmellitusaretrospectivecrosssectionalhospitalbasedstudy