A Review on Detection of Diabetic Peripheral Neuropathy

Abstract

Diabetic Peripheral Neuropathy (DPN) is a lifelong problem of Diabetes. The nerves that reach to the arms, legs, and feet become damaged due to high glucose level over a long period of time. It leads to loss of sensation, and sometimes pain in feet and hands. DPN increases the risk of foot ulcers and amputation. About 60% to 70% over entire humans with diabetes will ultimately generate Peripheral Neuropathy. The present study proposes different methods for detection of DPN like Touch sensation test, Pressure sensation Test, Vibration sensation test. Currently, DPN diagnosed by using three different instruments. The first is 10 g SWM (Semmes Weinstein Monofilament), second is Tuning fork, third is Biothesiometer. One more method is also used that is Nerve conduction (NC) study, which is time consuming and cost is high. Different methods have some limitation like 10 g SWM have limitations like fabricating fault and atmospheric effect. The second instrument Tuning fork has limitation like method variation means physician to physician result was varied to detect DPN. Last instrument, Biothesiometer is more expensive instrument and required a highly skilled physician. Vibration is a very important parameter to detect DPN. On the basis of vibration mechanism, level of DPN can also be identified. To overcome above limitations, a reliable, portable, easiest and valid tool is required to detect DPN.