The effectiveness of electroneuromyography in the early diagnosis of diabetic foot development

Abstract

Objective: Diabetic foot is one of the basic causes of lower extremity amputation. The aim of this study is to determinewhich examination method of nerve conduction disorders may be used predominantly for early diagnosis of diabetic footdevelopment in the follow-up of diabetic patients.Material and Method: The study consists of 3 different groups (n=150) of patients diagnosed with type 2 diabetes (DM). Group 1; 50patients with diabetic foot complications (DFC+), Group 2; 50 patients without diabetic foot complications and with polyneuropathy(DFC-/PNP+), Group 3; 50 patients without diabetic foot complications and without polyneuropathy (DFC-/PNP-). Diabetic footwounds were grouped by PEDIS classification. A total of 150 DM patients were included. The age, sex, diabetes duration, bloodglucose levels, HbA1c measurements, and standard electroneuromyography (ENMG) findings were compared.Findings: Age, sex, diabetes duration, blood glucose, HbA1c values and electroneuromyography (ENMG) for nerve amplitude,velocity and latency results were compared among the groups. A significant statistical difference was found between threegroups when age, sex, HgbA1c, fasting blood glucose, diabetes duration was evaluated (p