• Connecticut medicine · Oct 2013

    Assessment of pain and treatment satisfaction in patients with painful diabetic peripheral neuropathy.

    • Latha Dulipsingh, Susan Zailskas, Tashauna Goldsby, Teresa McInnis, and Aniello Marotta.
    • Center for Diabetes and Metabolic Care at Saint Francis Hospital, Hartford, USA. Idulipsi@stfranciscare.org
    • Conn Med. 2013 Oct 1; 77 (9): 523-7.

    IntroductionPainful diabetic peripheral neuropathy (DPN) is a common complication of diabetes mellitus and can have debilitating consequences with a significant impact on quality of life. This study was done to evaluate treatment satisfaction and to describe pain experienced from DPN by patients at our Center.MethodsPatients > or = 18 years of age with a diagnosis of diabetes, were offered a self-administered questionnaire by their health-care provider. In addition to information related to their diabetes, patients were asked if they experienced nerve pain, the characteristics of the nerve pain, impact on activitylevel, sleep, quality of life, and satisfaction with current therapy.ResultsA total of 98 patients, 53.1% female, met the inclusion criteria and were included in the analysis. Thirty-one patients (31.6%) reported neuropathic pain, with 83.3% having experienced nerve pain for > or = one year and the majority (67.7%) reporting nerve pain primarily in their feet. Impact of nerve pain on quality of life was noted by 61.3% of patients although 64.5% of patients reported that nerve pain did not cause them to avoid activities.ConclusionPainful DPN is a complication of diabetes mellitus and has a significant impact on quality of life. The results of our questionnaire found about a third of patients with long-standing diabetes have DPN of which about two thirds reported that it affected their quality of life. Surprisingly, almost half of the patients reported being satisfied with their treatment despite severe nerve pain.

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