ABSTRACT
In addition to macrovascular and along with other microvascular complications, diabetic patients suffer from some common musculoskeletal complications. The aim of this study was to assess the prevalence of five musculoskeletal disorders of upper extremity including shoulder capsulitis [SC], limited joint mobility [LJM], Dupuytren's contracture [DC], carpal tunnel syndrome [CTS], and trigger finger [TF] as well as identify their related risk factors in diabetic patients. We recruited 432 types 1 or 2 diabetic patients and evaluated them for the presence of musculoskeletal disorders and their-related risk factors in 2012-13. The patients were exam-ined by an endocrinologist and then suspected subjects evaluated by a rheumatologist for defin-ing final diagnosis. The most prevalent musculoskeletal disorder of upper extremity was SC [8.79%], fol-lowed by CTS [8.56%], LJM [6.94%], DC [7.4%], and TF [6.71%]. Advanced age, female sex, smoking, and duration of diabetes were associated with the appearance of SC; female sex and duration of diabetes with CTS; advanced age and smoking with LJM; advanced age, duration of diabetes and history of foot ulcer with DC; and history of laser photocoagulation was associated with TF. The results show lower prevalence of upper musculoskeletal disorders and differ-ent associated risk factors in our diabetic population in comparison with previous studies on other populations.
ABSTRACT
Diabetic neuropathy is one of the most common complications of diabetes mellitus, of which it's most prevalent form is chronic sensorimotor neuropathy. The aim of this study is to assess the prevalence of diabetic peripheral neuropathy [DPN] and its associated risk factors among diabetic patients who reside in Hamedan, Iran. A cross-sectional study of 600 types 1 and 2 diabetic patients was performed using the standard Neuropathy Symptom Score [NSS] and Neuropathy Disability Score [NDS] criteria for the diagnosis of diabetic neuropathy. Overall prevalence of DPN in this population was 45.7% [95% CI: 42.6%-48.8%]. The prevalence of DPN in type 1 diabetic patients was 21.5%, whereas in type 2 diabetic patients it was 49.3% [P<0.001]. Duration of diabetes and education level were significantly associated with DPN in type 1 diabetic patients and a history of foot ulcer, age, duration of diabetes, weight, education level, and sex had a significant association with DPN in type 2 diabetic patients according to multiple logistic regression analysis. The results of our study showed a relatively high prevalence of DPN in our diabetic population. A significant difference existed in the prevalence of DPN between types 1 and 2 diabetic patients