Comparative study of Diabetic Neuropathy Examination Scoring &Nerve Conduction Velocity in patients of Diabetic Neuropathy

Abstract

Background and aims: Diabetes Mellitus (DM) is a metabolic disease affecting the worldwide population. It causes Neuropathy with significant morbidity (Paraesthesia, hyperesthesia, gait disturbance, distal weakness, insensitive extremities, predisposition to foot ulcers and even leading to amputations). The pain associated with diabetic neuropathy has a substantial impact on the quality of life. Diabetic Neuropathy Examination Scoring  (DNE Scoring) and Electrophysiological study (NCV study) help in early diagnosis, treatment, and decreasing the morbidity caused due to DM. Aim:The main objective of the study was to examine the correlation between Clinical examination(DNE Scoring) and Electrophysiological study(NCV) in patients with Diabetic Neuropathy. Material and methods: A total of 52 patients were studied from January 2019 to June2020 between the age group of 40-89years. Meticulous history, Clinical examination (DNE scoring), and NCV Study were done. Result and Conclusion :NCV testing and DNE Scoring helps in early diagnosis and management and retard the progression with better control. The ideal diagnosis of Diabetic sensorimotor polyneuropathy (DSPN) is made by both the compatible clinical findings and the related electrophysiological changes.The usefulness of Diabetic neuropathic examination (DNE scoring) and its correlation with NCV is helpful in early diagnosing of diabetic neuropathy.