| Streszczenie: | Neuropathy Associated Prediabetes (NAP) is a distal symmetric
sensory neuropathy occuring in intermiten hyperglycaemia atau prediabeticinsulin resistence. Despite the increasing prevalence, NAP is usually not easily
recognized and detected. It is necessary to identify and treat neuropathy since the
early phase since some medicines for diabetic neuropathy have failed to treat
diabetic neuropathy. This study aims at assessing the ratio of clinical features
prevalence of NAP compared to diabetic diabetika (ND) and identifying the
specific clinical appearance of NAP.
This study employs cross-sectional design. A number of 144 neuropathic
patients (n=144) participated in the study. Of that number, 75 patients had NAP
and 69 patients had ND. Neurological physical examination was performed with
NDS to obtain the clinical appearance. The independent variables of the study are
vibration sensation, Achilles reflex, pain sensation and temperature.
Characteristically, the study found significantly different results in age,
systolic blood pressure, hypertension history, and dislipidemia status. Comparison
of NAP and ND reveals statistically significant difference in all independent
variables under study (p<0.05). Multivariate analysis results suggest that Results
of multivariate analysis suggest that Achilles reflex, hypertension and
dislipidemia status significantly contribute to glucose intolerance neuropathy
(p<0,001). The ratios of NAP prevalence in descending order are temperature
sensation abnormality, pain, vibration, and Achilles reflex.
NAP showed less clinical features abnormality than ND. Temperature
sensation abnormality and pain sensation predominantly occurred earlier in
hyperglycemia status. The most prevalent clinical features in NAP are
temperature sensation abnormality, pain sensation abnormality, vibration
sensation abnormality, and Achilles reflex abnormality.
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