Prevalencia de neuropatía periférica en diabéticos tipo 2 en el primer nivel de atención

• Carlos Tomás Ibarra R ^[1] ; José de Jesús Rocha L ^[1] ; Raúl Hernández O ^[1] ; Rene Efrén Nieves R ^[1] ; Rafael Leyva J ^[2]
  1. [1] Unidades de Medicina Familiar
  2. [2] Coordinación Estatal de Investigación
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 140, Nº. 9, 2012, págs. 1126-1131
• Idioma: español
• Títulos paralelos:
  • Prevalence of peripheral neuropathy among primary care type 2 diabetic patients
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• Resumen

  • Background: Neuropathy is a common complication of diabetic patients. Aim: To determine the prevalence of diabetic peripheral neuropathy in Type 2 diabetic patients attended at a family medicine unit. Material and Methods: Cross-sectional assessment of 348 type 2 diabetic patients aged 34-89 years (60% females) with a disease duration of 5 to 15 years. Peripheral neurological status was evaluated using The Michigan Neuropathy Screening Instrument, a tool that includes a self-assessment of symptoms and a physical examination. Results: Diabetic neuropathy was found in 240patients (69%). The prevalence in males and females was 72 and 67% respectively. The prevalence in patients with a disease duration of 5, 10 and 15 years, was 59, 69 and 77%, respectively. Fifty percent of patients with neuropathy complained of dry skin, 2% had ulcers, 43% had an abnormal perception of vibration and 29% had an abnormal monofilament test. Conclusions: The overall prevalence of peripheral neuropathy in this group of patients was 69% and was directly associated with the duration of the disease.