Frequency of neuropathic pain in type 2 diabetes mellitus at the Lagos University teaching Hospital: a questionnaire-based outpatient survey.
Date
2016-04
Authors
Ojo, O.O.
Odeniyi, I.A.
Iwuala, S.O.
Oshinaike, O.O.
Okubadejo, N.U.
Fasanmade, O.A.
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Kluwer (Medknow)
Abstract
Background: Neuropathic pain (NP) is one of the most common complications of type 2
diabetes mellitus (DM). The frequency of NP in population living with type 2 DM is unclear.
Objective: To determine the frequency of NP symptoms in patients with type 2 DM.
Materials and Methods: This cross‑sectional study recruited 250 type 2 DM patients attending
the outpatient diabetes clinic of the Lagos University Teaching Hospital (LUTH) over a period
of 4 weeks. Demographic data and data regarding current DM treatment, prior diagnosis of NP,
and current treatment of NP were obtained using a structured questionnaire. Glycaemic status
of the patients was assessed measuring fasting blood glucose and glycosylated hemoglobin level.
Presence of NP was documented using the painDETECT questionnaire (PDQ). Results: NP
was present in 54 out of the 250 type 2 DM patients studied giving a frequency of 21.6%. Out
of 54 patients 36 (66.7%) were females and 18 (33.3%) were males giving a male: female ratio
of 1:2 (P < 0.05). The mean age of type 2 DM patients with NP was significantly higher than
the mean age of type 2 DM patients without NP (62.4 ± 10.9 years vs 58.9 ± 11.7 years; P = 0.05).
Glycaemic status and disease duration did not differ among DM patients with or without NP.
Only 10 out of 54 (18.5%) patients were treatment naïve at the time of study; however, out of
the 44 patients receiving treatment only 9 (20.5%) were on appropriate treatment compared
to international guidelines on treatment of diabetic NP. Conclusion: NP was present in 21.6%
of type 2 DM patients attending the LUTH.
Description
Keywords
Diabetes mellitus , Neuropathy , Questionnaire , Nigeria , Neuropathic pain
Citation
Ojo OO, Odeniyi IA, Iwuala SO, Oshinaike OO, Okubadejo NU, Fasanmade OA. Frequency of neuropathic pain in type 2 diabetes mellitus at the Lagos University teaching Hospital: a questionnaire-based outpatient survey. Journal of Clinical Sciences.2016;13(2):46-50.