Detection of diabetic polyneuropathy in a family medicine clinic by using monofilament
Background/Aim. Diabetic polyneuropathy (DPN) is the most common microvascular complication of diabetes mellitus (DM), which may be present at the time of disease detection. Screening for DPN is performed for the patients with type 2 diabetes at the time of diagnosis and for type 1 diabetes 5 years...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2022-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502000053L.pdf |
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| author | Lakić Biljana Petrović Verica Račić Maja Stanetić Kosana |
| author_facet | Lakić Biljana Petrović Verica Račić Maja Stanetić Kosana |
| author_sort | Lakić Biljana |
| collection | DOAJ |
| description | Background/Aim. Diabetic polyneuropathy (DPN) is the most common microvascular complication of diabetes mellitus (DM), which may be present at the time of disease detection. Screening for DPN is performed for the patients with type 2 diabetes at the time of diagnosis and for type 1 diabetes 5 years after diagnosis. The primary aim of this study was to determine the prevalence of DNP among family medicine patients with DM aged 18 to 70 years using nylon monofilament. Methods. The cross-sectional study estimated the prevalence of DPN among primary care patients with DM in Banja Luka, Republic of Srpska, Bosnia and Herzegovina. Semmes-Weinstein nylon 10 g monofilament was used to detect DPN. Age, gender, duration of DM, type of therapy, symptoms, glycosylated hemoglobin (HbA1c), and risk factors (hypertension, smoking, dyslipidemia, obesity, physical inactivity) were analyzed. Data collection took place from June 1st, 2017 to May 31st, 2018. Results. The study included 228 patients, 132 (57.9%) men and 96 (42.1%) women. There was a statistically significant difference in the presence of all symptoms of DPN (tingling, burning, light burning, and stinging) among patients with different duration of DM (p < 0.01). Multivariate logistic regression revealed that patients who had hypertension [odds ratio (OR) = 26.2; 95% confidence interval (CI): 4.070–168.488; p = 0.001], used oral anti-diabetic therapy (OR = 12.3; 95% CI: 1.300–116.309; p = 0.029), had tingling (OR = 5.2; 95% CI: 1.431–18.571; p = 0.012) and a longer duration of diabetes (OR = 4.27; 95% CI: 1.983–9.175; p = 0.000) were more likely to have DPN. Conclusion. The prevalence of DPN in family medicine patients with DM using nylon monofilament was 24.2%. Determinants of DNP were the presence of symptoms of tingling, duration of diabetes, hypertension, and the use of oral antidiabetic therapy alone. |
| format | Article |
| id | doaj-art-61ba26ffc900474f82d98e2db032cfd6 |
| institution | OA Journals |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-61ba26ffc900474f82d98e2db032cfd62025-08-20T01:57:04ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202022-01-0179438338810.2298/VSP200226053L0042-84502000053LDetection of diabetic polyneuropathy in a family medicine clinic by using monofilamentLakić Biljana0Petrović Verica1Račić Maja2Stanetić Kosana3Primary Healthcare Center, Banja Luka, Republic of Srpska, Bosnia and Herzegovina + University of Banja Luka, Faculty of Medicine, Banja Luka, Republic of Srpska, Bosnia and HerzegovinaPrimary Healthcare Center, Banja Luka, Republic of Srpska, Bosnia and Herzegovina + University of Banja Luka, Faculty of Medicine, Banja Luka, Republic of Srpska, Bosnia and HerzegovinaUniversity of East Sarajevo, Faculty of Medicine, Foča, Republic of Srpska, Bosnia and HerzegovinaPrimary Healthcare Center, Banja Luka, Republic of Srpska, Bosnia and Herzegovina + University of Banja Luka, Faculty of Medicine, Banja Luka, Republic of Srpska, Bosnia and HerzegovinaBackground/Aim. Diabetic polyneuropathy (DPN) is the most common microvascular complication of diabetes mellitus (DM), which may be present at the time of disease detection. Screening for DPN is performed for the patients with type 2 diabetes at the time of diagnosis and for type 1 diabetes 5 years after diagnosis. The primary aim of this study was to determine the prevalence of DNP among family medicine patients with DM aged 18 to 70 years using nylon monofilament. Methods. The cross-sectional study estimated the prevalence of DPN among primary care patients with DM in Banja Luka, Republic of Srpska, Bosnia and Herzegovina. Semmes-Weinstein nylon 10 g monofilament was used to detect DPN. Age, gender, duration of DM, type of therapy, symptoms, glycosylated hemoglobin (HbA1c), and risk factors (hypertension, smoking, dyslipidemia, obesity, physical inactivity) were analyzed. Data collection took place from June 1st, 2017 to May 31st, 2018. Results. The study included 228 patients, 132 (57.9%) men and 96 (42.1%) women. There was a statistically significant difference in the presence of all symptoms of DPN (tingling, burning, light burning, and stinging) among patients with different duration of DM (p < 0.01). Multivariate logistic regression revealed that patients who had hypertension [odds ratio (OR) = 26.2; 95% confidence interval (CI): 4.070–168.488; p = 0.001], used oral anti-diabetic therapy (OR = 12.3; 95% CI: 1.300–116.309; p = 0.029), had tingling (OR = 5.2; 95% CI: 1.431–18.571; p = 0.012) and a longer duration of diabetes (OR = 4.27; 95% CI: 1.983–9.175; p = 0.000) were more likely to have DPN. Conclusion. The prevalence of DPN in family medicine patients with DM using nylon monofilament was 24.2%. Determinants of DNP were the presence of symptoms of tingling, duration of diabetes, hypertension, and the use of oral antidiabetic therapy alone.http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502000053L.pdfbosnia and herzegovinadiabetes mellitus, type 2diabetic neuropathiesprevalenceprimary health carerisk factors |
| spellingShingle | Lakić Biljana Petrović Verica Račić Maja Stanetić Kosana Detection of diabetic polyneuropathy in a family medicine clinic by using monofilament Vojnosanitetski Pregled bosnia and herzegovina diabetes mellitus, type 2 diabetic neuropathies prevalence primary health care risk factors |
| title | Detection of diabetic polyneuropathy in a family medicine clinic by using monofilament |
| title_full | Detection of diabetic polyneuropathy in a family medicine clinic by using monofilament |
| title_fullStr | Detection of diabetic polyneuropathy in a family medicine clinic by using monofilament |
| title_full_unstemmed | Detection of diabetic polyneuropathy in a family medicine clinic by using monofilament |
| title_short | Detection of diabetic polyneuropathy in a family medicine clinic by using monofilament |
| title_sort | detection of diabetic polyneuropathy in a family medicine clinic by using monofilament |
| topic | bosnia and herzegovina diabetes mellitus, type 2 diabetic neuropathies prevalence primary health care risk factors |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502000053L.pdf |
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