Volume 22, Number 97 (2-2013)                   J Mazandaran Univ Med Sci 2013, 22(97): 60-66 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Baraz Pordanjani S, Shahbazian H B, Latifi S M, Karimi M, Ebrahimi Dastgerdi M. Screening of Sensory Peripheral Neuropathy in Type II Diabetes. J Mazandaran Univ Med Sci. 2013; 22 (97) :60-66
URL: http://jmums.mazums.ac.ir/article-1-1765-en.html

Abstract:   (38557 Views)
Background and purpose: The newly updated American Diabetes Association guidelines based on evidence-based medical practice have proposed screening of the patients for neuropathy at the time of diagnosis with type II diabetes mellitus. However, the complex and extensive clinical manifestation of diabetic peripheral neuropathy and lack of objective evaluation indexes makes this screening rather troublesome. The goal of this study was screening of sensory peripheral neuropathy in type II diabetic patients in Ahvaz, Iran. Materials and methods: Our study population consisted of 150 patients treated for diabetes mellitus in the Clinic of Diabetes at the Ahvaz Jundishapur University of Medical Sciences. Non-randomized sampling method was used to select the participants. All patients were tested for sensory neuropathy using two different modalities of testing: 8 and 10 gram Semmes-Weinstein Monofilaments Examinations. In next phase nerve conduction velocity was examined. Then, sensitivity and specificity of 8 and 10 gram Semmes-Weinstein Monofilaments were analyzed. Results: Gram Semmes-Weinstein Monofilament had a sensitivity ranging from 30.8% to 64.1% at sites 1-10 while its specificity ranged from 64% to 89.2%. The sensitivity and specificity of 8 gram Semmes-Weinstein Monofilament were 28.2 to 64.1% and 62.2% to 88.3%, respectively. Conclusion: Semmes-Weinstein Monofilament is believed to be the best choice for clinical screening that has a good predictive ability for the risk of ulceration and amputation among people with diabetes.
Full-Text [PDF 231 kb]   (1688 Downloads)    
Type of Study: Research(Original) |

Add your comments about this article : Your username or email:
Write the security code in the box

Send email to the article author


© 2015 All Rights Reserved | Journal of Mazandaran University of Medical Sciences

Designed & Developed by : Yektaweb