A CASE STUDY ON GLYCEMIC INDEX AND DIABETIC PERIPHERAL NEUROPATHYAbstract
The term HbA1c refers to glycated haemoglobin. By measuring glycated haemoglobin (HbA1c), clinicians are able to get an overall picture of what our average blood sugar levels have been over a period of weeks/months. Diabetic neuropathy is generally assessed in clinical practice by a combination of objective and subjective measures. Nerve conduction studies, the distal sural sensory nerves and the bilateral common peroneal and posterior tibial motor nerve was performed in lower limb in female patient of 20-years old suffering from type-I diabetes from past 10-yeras and had poor glycemic control (haemoglobin [HbA1c] 9.56%). Studies showed motor conduction studies (MNCV) and sensory conduction studies (SNCV) of the lower extremities, revealed borderline- prolonged distal latencies, evoked CMAPs of reduced amplitude of common peroneal, posterior tibial (right and left) with reduced conduction velocity was observed and however sural SNAP amplitude recordings in lower limb was normal. F response latencies were markedly prolonged in patient. Electro-diagnostic techniques play an important role in the prognosis of diabetic neuropathy because timely intervention reduces disability and morbidity
Arbind Kumar Choudhary * and Sadawarte Sahebrao Kishanrao
Department of Physiology, People’s College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India.
13 May, 2015
15 June, 2015
14 September, 2015
01 November, 2015