October - December 2023, Volume 19, Issue 4

Kalyon S, Ozkan Gumeskaya P, Ozsoy N, Pala AS, Basmakci A, Ozcan M, Arman Y, Tukek T

The Prevalence of Polyneuropathy in the Pre-Diabetes Period

Acta Endo (Buc) 2023, 19 (4): 497-500
doi: 10.4183/aeb.2023.497

Objective. This study aims to determine the prevalence of neuropathy in the prediabetic period. Design, Subjects and Method. Informed consent was attained from the patients who volunteered to participate in the study after ethics committee approval was obtained. Patients under the age of 18, having vitamin B12 or folic acid deficiency, history of collagen tissue-rheumatological disease, chronic kidney failure, cirrhosis, ethylism, thyroid disease, autoimmune disease, malignancy, tuberculosis, type 1 or 2 diabetes mellitus and pregnant women were excluded from the study. Patients diagnosed with prediabetes were evaluated by the DN4 neuropathy complaint questionnaire. Neuropathy was diagnosed in patients having a score of four or more. For the statistical analyses Student t-test, Pearson chi-square test, and Fisher's exact test were performed using the NCSS program. Results. A total of 224 volunteers, 167 women and 57 men, were included in the study. The mean age of the participants was 51 and the mean level of hemoglobin A1C was 5.9. Neuropathy was detected in 45% of the cases. Especially in women, there was a significant increase in the frequency of neuropathy compared to men. The most common complaints found in our study were burning sensation and numbness in the extremities. Conclusions. Similar to diabetic patients, prediabetic patients also have a high rate of neuropathy. For the early diagnosis of neuropathy and to be treated promptly, screening tests such as DN4 should be performed for all prediabetic patients. According to the test results, advanced examinations such as EMG or biopsy should be performed earlier.

Keywords: Autonomic neuropathies, Prediabets, Questionnaire.

Correspondence: Semih Kalyon MD, “Prof.Dr.Cemil Tascioglu” City Hospital, Internal Medicine, Sisli, Istanbul, 340110, Turkey, E-mail: semihkalyon@hotmail.com