Diabetic neuropathy complications include severe pain, loss of sensation, foot ulceration and amputation, burns, infection, cellulites, sleep disorder, impaired daily functioning, mood disorders, gangrene, involvement of different systems such as cardiovascular, gastrointestinal and reproductive systems. Peripheral sensory neuropathy is one of the single strongest factors associated with the development of foot ulcers, amputations, Charcot Arthropathy, and other foot complications. Diabetic neuropathy is one of the most common complications of DM which can cause motor/sensory dysfunction in diabetic patient –. There are more than 3 million people diagnosed by DM, which unfortunately increases three times every 15 years. Prevalence of diabetes mellitus (DM) in different parts of Iran is between 7.5–7.9 percent. IDF and WHO reported increasing incidence all around the world especially in developing countries. Therefore, we suggest that screening for diabetic peripheral neuropathy, especially in large populations to avoid wasting time on Monofilament application, areas like three or four points eight and ten points could be used.ĭiabetes is the most common metabolic disease worldwide. Since increasing the number of points it was not significantly difference. This study showed that Semmes-Weinstein monofilament can easily use as a simple and inexpensive device for screening. It was revealed that the difference sensitivity and specificity of Monofilament in three and four points with sensitivity and specificity in eight and ten point is not statistically significant. Also, specificity of the same points were 77.5 to 95.5 and 64 to 89.2 percent respectively. Monofilament sensitivity at eight and ten points were 38.5 to 61.5 and 64.1 to 30.8 percent respectively. Specificity of Monofilament the same points, were 73.9 to 84.7 and 73 to 87.4 percent respectively. The results showed that the sensitivity of Monofilament in three and four points were 35.9 to 53.8 present and 38.5 to 51.3 percent respectively. The most common subjective symptoms were paresthesia of both feet, pain in feet, burning sensation in the extremities and numbness in the extremities. In the next phase, nerve conduction velocity was examined. All patients were evaluated for sensory neuropathy using ten gram Semmes-Weinstein Monofilaments and questionnaire on neuropathy symptoms. In a descriptive correlational design, 150 patients with diabetes mellitus were selected using convenience sampling. The purpose of this study was to evaluate the effectiveness of Semmes–Weinstein monofilament ten gram in 3, 4, eight and ten points in the screening of diabetic peripheral neuropathy in patients with diabetes mellitus. The development and progression of such complications are responsible for much of the morbidity and mortality. Diabetic Peripheral Neuropathy is one of the most prevalent complications of diabetes mellitus.
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