The Association Between Diabetic Neuropathy and Balance and Risk of Falling in Type 2 Diabetic Patient: A Cross-Sectional Study -
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Abstract
Background: Diabetic neuropathy (DN) is a complication of type 2 diabetes mellitus (T2DM) with a major impact on the health of the affected patient and leading cause for falls. This study aimed to study the relation between DN and other risk factors among patients with T2DM and balance and risk of falls.
Methods: In this cross-sectional study we enrolled, according to a consecutive-case population-based setting, 120 patients with T2DM aged 18 years or older who visited the outpatient clinic, Pramongkutklao Hospital from February – May 2019. Data were recorded on a form. The presence of DN was evaluated using the Michigan Neuropathy Screening Instrument. The balance impairment and the risk of falls were evaluated using two tools: Timed Up and Go Test (TUG) and Single Leg Stand Test (SLS). The relation between DN among patients with T2DM and other factors on balance and risk of falls were analyzed using multivariate analysis (p-value <0.05).
Results: The presence of DN was significantly associated with balance and risk of falls SLS (adjusted OR: 23.1; 95% CI 2.09 – 255.22; p=0.01) and TUG (adjusted OR: 41.304; 95% CI 9.83 – 173.62; p <0.001). We observed that patient’s sex, vision problems, fear of falling, using hypnotic drugs, age and duration of T2DM were significant predictors for the risk of falls among patients with T2DM.
Conclusion: The presence of DN among patients with T2DM is associated with impaired balance and risk of falls. Patients with T2DM and DN should be evaluated for balance and risk of falls.
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