{"title":"Comprehensive risk analysis of diabetic peripheral neuropathy in type II diabetes mellitus.","authors":"Alex Contesa, Hema Malini, Dally Rahman","doi":"10.1007/s40200-025-01630-8","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Type II diabetes mellitus is a metabolic disorder characterized by chronic hyperglycemia resulting from impaired insulin secretion, action, or both. Diabetic peripheral neuropathy is among the most common complications of disease, with its incidence linked to various risk factors. This study aims to evaluate the risk factors associated with peripheral neuropathy among patients with Diabetes Mellitus in Padang City.</p><p><strong>Method: </strong>Using a descriptive, cross-sectional design with stratified random sampling, 390 T2DM patients were assessed. Research instruments included the Global Physical Activity Questionnaire, the Patient Health Questionnaire-9, and the Michigan Neuropathy Screening Instrument. Data analysis employed chi-square tests and multiple logistic regression.</p><p><strong>Results: </strong>The findings revealed significant associations between Diabetic peripheral neuropathy and factors such as diabetes duration, socioeconomic status, smoking, glycemic control, dyslipidemia, physical activity, and depressive symptoms (<i>p</i> < 0.05). Conversely, no significant relationship was observed for sex or hypertension (<i>p</i> > 0.05). Dyslipidemia emerged as Diabetic peripheral neuropathy's most influential risk factor (<i>p</i> = 0.000, OR = 3.295).</p><p><strong>Conclusion: </strong>This study emphasizes the importance of early detection through routine screening and regular follow-up care. Targeting modifiable risk factors through health education and improved disease management strategies could significantly reduce the burden of Diabetic peripheral neuropathy among Type 2 Diabetes Mellitus patients.</p>","PeriodicalId":15635,"journal":{"name":"Journal of Diabetes and Metabolic Disorders","volume":"24 1","pages":"123"},"PeriodicalIF":1.8000,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086126/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Diabetes and Metabolic Disorders","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40200-025-01630-8","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: Type II diabetes mellitus is a metabolic disorder characterized by chronic hyperglycemia resulting from impaired insulin secretion, action, or both. Diabetic peripheral neuropathy is among the most common complications of disease, with its incidence linked to various risk factors. This study aims to evaluate the risk factors associated with peripheral neuropathy among patients with Diabetes Mellitus in Padang City.
Method: Using a descriptive, cross-sectional design with stratified random sampling, 390 T2DM patients were assessed. Research instruments included the Global Physical Activity Questionnaire, the Patient Health Questionnaire-9, and the Michigan Neuropathy Screening Instrument. Data analysis employed chi-square tests and multiple logistic regression.
Results: The findings revealed significant associations between Diabetic peripheral neuropathy and factors such as diabetes duration, socioeconomic status, smoking, glycemic control, dyslipidemia, physical activity, and depressive symptoms (p < 0.05). Conversely, no significant relationship was observed for sex or hypertension (p > 0.05). Dyslipidemia emerged as Diabetic peripheral neuropathy's most influential risk factor (p = 0.000, OR = 3.295).
Conclusion: This study emphasizes the importance of early detection through routine screening and regular follow-up care. Targeting modifiable risk factors through health education and improved disease management strategies could significantly reduce the burden of Diabetic peripheral neuropathy among Type 2 Diabetes Mellitus patients.
目的:II型糖尿病是一种代谢紊乱,以胰岛素分泌、作用受损或两者兼而有之导致的慢性高血糖为特征。糖尿病周围神经病变是最常见的并发症之一,其发病率与各种危险因素有关。本研究旨在探讨巴东市糖尿病患者周围神经病变的相关危险因素。方法:采用分层随机抽样的描述性横断面设计,对390例T2DM患者进行评估。研究工具包括全球身体活动问卷、患者健康问卷-9和密歇根神经病变筛查工具。数据分析采用卡方检验和多元逻辑回归。结果:糖尿病周围神经病变与糖尿病病程、社会经济状况、吸烟、血糖控制、血脂异常、体力活动和抑郁症状等因素有显著相关性(p p > 0.05)。血脂异常是糖尿病周围神经病变最重要的危险因素(p = 0.000, OR = 3.295)。结论:本研究强调早期发现的重要性,通过常规筛查和定期随访护理。通过健康教育和改善疾病管理策略,针对可改变的危险因素,可显著减轻2型糖尿病患者糖尿病周围神经病变的负担。
期刊介绍:
Journal of Diabetes & Metabolic Disorders is a peer reviewed journal which publishes original clinical and translational articles and reviews in the field of endocrinology and provides a forum of debate of the highest quality on these issues. Topics of interest include, but are not limited to, diabetes, lipid disorders, metabolic disorders, osteoporosis, interdisciplinary practices in endocrinology, cardiovascular and metabolic risk, aging research, obesity, traditional medicine, pychosomatic research, behavioral medicine, ethics and evidence-based practices.As of Jan 2018 the journal is published by Springer as a hybrid journal with no article processing charges. All articles published before 2018 are available free of charge on springerlink.Unofficial 2017 2-year Impact Factor: 1.816.