Background- Diabetes mellitus (DM) leads to increased morbidity and mortality as a consequence of macro- and micro-vascular complications. Diabetic neuropathy is considered as one of the most common long term, complications of diabetes mellitus and is clinically present in 30-50% of all diabetic patients. The clinical and electro-physiological evidence of diabetic peripheral neuropathy is estimated to be about 70% in both type-I and type-II diabetes mellitus. Here we evaluate the presence of microvascular complications in newly diagnosed diabetic patients.
Materials And Methods- This observational study was performed in Department of Medicine at SRMSIMS, Bareilly for duration of 16 months (1st January 2018 to 30th April 2019) on newly diagnosed type 2 diabetes mellitus as per ADA Criteria (within 3 months) patients with age more than 18 years who were attending medicine OPD and medicine wards and who had confirmed consent and were fit to the inclusion criteria were recruited for this study.
Results- The present study revealed that neuropathy develops at the time of diagnosis of diabetes in 55.8% patients and should be regularly screened for. Diabetic neuropathy. Diabetic retinopathy was found only in 13.7 % patients whereas Evidence of Nephropathy was found only in 4.9% of the patients.
Conclusion- Early diagnosis of peripheral neuropathy, patient education and treatment prevents moribound complications like neuropathy related foot ulcers, diabetic foot, falls etc. Patients presenting with recent onset diabetes should also screened for diabetic neuropathy along with nephropathy and retinopathy
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