Effect of lifestyle interventions on diabetic peripheral neuropathy in patients with type 2 diabetes, result of a randomized clinical trial

• Published in: Aǧrı 2018-10, Vol.30 (4), p.165-170
• Main Authors: Ghavami, Haleh, Radfar, Moloud, Soheily, Soraya, Shamsi, Shams Aldin, Khalkhali, Hamid Reza
• Format: Article
• Language: English
• Subjects: Diabetes Mellitus, Type 2; Diabetic Neuropathies - prevention & control; Female; Humans; Life Style; Male; Middle Aged; Pain Measurement; Severity of Illness Index; Treatment Outcome
• ISSN: 1300-0012
• DOI: 10.5505/agri.2018.45477

Diabetic peripheral neuropathy (DPN) is the most common and troublesome complication of diabetes leading to great morbidity and resulting in a huge economic burden for diabetes care. Over half of people with diabetes develop neuropathy. Also, DPN is a major cause of reduced quality of life due to pain, sensory loss, gait instability, fall-related injury, and foot ulceration and amputation. The aim of this study was evaluating the effects of lifestyle interventions on diabetic neuropathy severity in diabetes type 2 outpatients. This clinical trial conducted on 74 patients with DPN that divided with random allocation into intervention or control group. The lifestyle interventions applied in the intervention group beginning four educational sessions on lifestyle that emphasize strategies for lowering blood sugar, increasing physical activity, promoting weight loss, prudent diet, and foot caring. Each session was lasted for1.5 hour. Then patients followed for 12 weeks. During this period, they received counseling on mentioned lifestyle interventions. DPN severity in both groups measured using modified Toronto Clinical Neuropathy Score (mTCNS) at the beginning of study and at the end of counseling for 12 weeks. Comparing differences of mean of DNP severity before and after lifestyle intervention between two groups of study, there was a significant difference (p