Abstract
Diabetes Mellitus is a double edged sword which can result in both microvascular and macrovascular complications, of which Diabetic Neuropathy has been reportedly under diagnosedor misdiagnosed. With changing technologies different methods of diagnosis have come to light for the diagnosis of Diabetic Neuropathy, of which Diabetic neuropathy symptom score by Dyck and measurement of vibration Perception Threshold by Biothesiometer were compared in this study to investigate any correlation between the methods. In this study, Diabetic neuropathy symptom score by Dyck is measured by the symptoms experienced by the subjects and relevant score is given whereas on the other hand, the VPT (Vibration Perception Threshold) value is measured using a Biothesiometer and the voltages measured were recorded. Extensive statistical analysis were performed involving chi-square correlation (for categorical relationship), linear regression (for continuous variables) and multivariate analysis to deduce dependence of outcomes on the various parameters like age, BMI, duration of disease and the diabetes control measured as Hb1Ac values. The results concluded that, the diagnosis of diabetic neuropathy by biothesiometer has been reliable to be compared with diabetic neuropathy symptom score and can aid in the earlier detection of the disease.
Keywords: Diabetes mellitus, Diabetic neuropathy, Diabetic neuropathy symptom score, VPT, Biothesiometer.
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Corresponding Author
Dr Susmitha Yella
Department of Neurology, NRI Medical College
DOI: https://dx.doi.org/10.18535/jmscr/v5i10.57
