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Category: Volume 05 Issue 10 October 2017
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Title: Prevalence and Treatment Options for Diabetic Neuropathic Pain in Kuwait

Authors: Samar Farouk Ahmad, Maryam Ebrahim Alkandri, Jasem Y. Al-Hashel, Dalal Alhajerie, Raed A. Alroughani

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i10.21

Abstract

Epidemiological data on Painful diabetic peripheral neuropathy (PDPN) is scarce in Kuwait. We aimed to study the prevalence of PDPN among diabetic patients and to assess its treatment modalities in Kuwait. This cross-sectional study collected data from 5 clinics in the primary, secondary and tertiary centres. Diabetic patients aged >18 years were included. PDPN was diagnosed based on combination of history of typical pain in extremities and objective neurological examination. Socio-demographic data and treatment modalities were extracted from the medical records. Questionnaires of patients` and practitioners` perceptions were collected from patients` and care health providers respectively. Descriptive and chi-square analyses were used to measure the statistical significance.A total of 202 diabetic participants; 109 were diagnosed as PDPN, representing a prevalence of 53.9% [95% confidence interval (CI), 50.7% – 58.5%] of the studied sample. The PDPN cohort had a mean age of 52.77±12.2 years. Patients with PDPN were older (39.6% versus 21.3%; p <0.005), taller (37.1% versus 23.8%; P <0.013), had longer disease duration (35.1% versus 21.8%; P <0.011), had body mass index > 30 (42.6% versus 26.2%; P <0.001) and higher fasting blood glucose (29.7% versus 18.8%; P <0.044) compared with patients without PDPN. The most commonly prescribed pain treatments were Non-steroidal anti-inflammatory drugs (25.68%) and anticonvulsants (22.93%).We concluded thatdisease duration, poor glycemic control and high BMI were associated with increased risk of PDPN. Patient education and management of neuropathic pain control need to be optimized.

Keywords: Painful Peripheral neuropathy, Diabetes mellitus, Kuwait.

 

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Corresponding Author

Samar Farouk Ahmad

Department of Neurology, Ibn Sina Hospital, P.O. Box 25427, Safat 13115, Kuwait

Department of Neurology and Psychiatry, Al Minia University, Faculty of Medicine, P.O. Box 61519, Minia 61111, Egypt

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.