Severity Screening of Diabetic Neuropathy in a Tertiary Hospital, Chennai: A Cross-sectional Study

Abstract

Diabetic peripheral neuropathy (DPN) is a common and debilitating complication of diabetes, often leading to significant morbidity if not detected early. Effective screening tools are crucial for timely diagnosis and management. The Neuropathy Disability Score (NDS) is a clinically validated, simple, and cost-effective tool used to assess the severity of diabetic peripheral neuropathy. It evaluates sensory and motor nerve function through a series of physical examinations. Aim and Objective: Early detection of diabetic neuropathy using the neuropathy disability score and assessment of the severity of diabetic neuropathy using the neuropathy disability score. Methods: This is a cross-sectional study conducted in Government Kilpauk Medical College, Chennai, during the month of March 2025. A total of 90 diabetic patients attending the Department of Physical Medicine and Rehabilitation with the inclusion criteria were enrolled. Detection of diabetic peripheral neuropathy and assessment of severity were done using the Neuropathy Disability Score (NDS). Results: Out of 90 patients, 26 (28.8%) patient found to have symptoms of diabetic peripheral neuropathy. 20 (22.2%) have difficulty in perceiving vibration, and 16 (17.7%) have difficulty in perceiving pressure sensation, as tested using monofilament, and 4 (4.4%) have difficulty in perceiving pain and 3 (3.3%) have abnormal deep tendon reflex. 11 (12.2%) have mild (score 3-5) and 3 (3.3%) have moderate (6-8 score) neuropathy. None of the patients had severe (score 9-10) neuropathy. Conclusion: DPN is one of the most common microvascular complications, largely concerned with the feet and lower limbs. Early identification and appropriate management of diabetic peripheral neuropathy using foot care and other modalities is highly advisable to prevent diabetic foot, which is the most common cause for non