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Prevalence of and Risk Factors for Peripheral Neuropathy in Chinese Patients With Diabetes: A Multicenter
Qi Pan1, Quanmin Li2, Wei Deng3
1Department of Endocrinology, Beijing Hospital, National Center of Gerontology, Beijing, China.
Frontiers in Endocrinology
|November 21, 2018
Summary
Diabetic peripheral neuropathy (DPN) affects over a third of diabetic patients in Beijing. Key risk factors include age, diabetes duration, and retinopathy, with ankle reflex and sensation tests proving effective for screening.
Area of Science:
- Endocrinology
- Neurology
- Public Health
Background:
- Diabetic peripheral neuropathy (DPN) is a common diabetes complication impacting quality of life.
- Understanding DPN prevalence and risk factors is crucial for effective management.
Purpose of the Study:
- To investigate the prevalence and risk factors of DPN in Beijing residents with type 1 and type 2 diabetes.
- To compare diagnostic methods for DPN.
Main Methods:
- A cross-sectional study involving 2,048 diabetic patients from 13 centers in Beijing.
- Data collection via questionnaires and examinations, followed by binary logistic regression analysis.
- Comparison of diagnostic methods using Youden indexes.
Main Results:
- The overall prevalence of DPN was 34.86%. Prevalence was 21.92% for type 1 diabetes and 35.34% for type 2 diabetes.
- Significant independent risk factors for DPN in type 2 diabetes included patient's age (OR=1.439), duration of diabetes (OR=1.297), and diabetic retinopathy (OR=0.637).
- Ankle reflex, temperature, and vibration sensation tests demonstrated the highest diagnostic accuracy (Youden indexes 62.2% and 69.8%).
Conclusions:
- Age, diabetes duration, and diabetic retinopathy are significant risk factors for DPN.
- Combined ankle reflex, temperature, and vibration sensation tests are recommended for DPN screening.
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