Abstract :
Objective: To compare the efficacies of neurological
physical examination, neurothesiometer and
PainDETECT questionnaire in diagnosing diabetic
neuropathy.
Study Design: Prospective cross-sectional
Place and Duration of Study: Department of General
Medicine, Nishtar Hospital Multan, Pakistan from 1st
December 2018 to 10th March 2019.
Materials and Methods: One hundred and four
patients of both type 1 and type 2 diabetes visiting the
outdoor department were included in this study. They
were assessed by lab results of glycosylated
hemoglobin, fasting and random blood sugar levels and
neurological physical examination.
Results: The physical examination with Michigan
Neuropathy Screening instrument showed that around
29 of the patients were having established neuropathy.
The PainDETECT questionnaire on the other hand
showed about 42 patients having a definitive
neuropathy while the neurothesiometer showed that 79
of the total patients had varying degrees of neuropathy.
Conclusion: The neurothesiometer is a better
diagnostic tool for diagnosing diabetic neuropathy in
patients.
Keyword :
Diabetic neuropathy, MNSI, neurothesiometer, PainDETECT