A Multidisciplinary Approach to Monitoring and Managing Diabetic Neuropathy: Integrating Imaging, Laboratory Data, Pharmacological Interventions, and Physical Rehabilitation for Optimal Patient Outcomes
Authors: Sultan K. Alshammari, Eman Q. Almutairi, Rehab S. Alsunaidi, Ruba K. Alhammad, Aminah K. Alanazi, Maryam H. Aldossari, Zahra A. Asiri, Afnan D. Aotaibi, Sarah M. Alotaibi
DOI: https://doi.org/10.5281/zenodo.13902044
Short DOI: https://doi.org/g7k9r8
Country: Saudi Arabia
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Abstract:
Background: Diabetic neuropathy (DN) is a common complication of diabetes, leading to nerve damage, pain, and functional impairments. A multidisciplinary approach integrating laboratory data, imaging, pharmacological interventions, and physical rehabilitation may improve patient outcomes. This study evaluated the effectiveness of such an approach in managing DN in a tertiary hospital.
Methods: A prospective cohort study of 200 DN patients was conducted over 12 months. Laboratory markers (HbA1c, lipid profiles), nerve conduction studies, and MRI were assessed alongside pharmacological treatments and physical rehabilitation. Outcomes included improvements in glycemic control, nerve function, pain relief, and physical function.
Results: Significant improvements in HbA1c (8.5% to 7.2%, p < 0.001), nerve conduction velocity (p < 0.001), and reductions in neuropathic pain (NPS score from 5.8 to 3.4, p < 0.001) were observed. Physical function improved, with reductions in Timed Up and Go scores and increased Berg Balance Scale and PROMIS scores (p < 0.001).
Conclusion: A multidisciplinary approach significantly improves glycemic control, nerve function, pain, and physical function in DN patients, supporting the need for comprehensive care strategies.
Keywords: Diabetic neuropathy, glycemic control, nerve conduction studies, pharmacological interventions, physical rehabilitation, multidisciplinary approach, pain management.
Paper Id: 231306
Published On: 2021-06-02
Published In: Volume 9, Issue 3, May-June 2021
Cite This: A Multidisciplinary Approach to Monitoring and Managing Diabetic Neuropathy: Integrating Imaging, Laboratory Data, Pharmacological Interventions, and Physical Rehabilitation for Optimal Patient Outcomes - Sultan K. Alshammari, Eman Q. Almutairi, Rehab S. Alsunaidi, Ruba K. Alhammad, Aminah K. Alanazi, Maryam H. Aldossari, Zahra A. Asiri, Afnan D. Aotaibi, Sarah M. Alotaibi - IJIRMPS Volume 9, Issue 3, May-June 2021. DOI 10.5281/zenodo.13902044