PREVALENCE OF PERIPHERAL NEUROPATHY IN DIABETIC IN PRIMARY HEALTH CARE

Introduction and Objective: In the world, every 30 seconds a lower limb (or part OF that) is lost due to diabetes mellitus (DM). Amputees, up to 85% previously have ulceration and diabetic neuropathy (NPD) is present in over 80% of these patients. The NPD is the most common complications of diabetes and the most important early event in predisposition to ulcers. Early diagnosis could prevent up to 85% of amputations. In this sense, family health strategy teams are essential for early diagnosis and prevention of this serious complication. The aim is to identify the prevalence of NPD in patients ascribed to Restinga/SP Health Basic Unit. Methods: This cross-sectional study involving patients with diabetes type 2. The data were collected through interviews, physical examination, sensitivity tests (128 Hz tuning fork and monofilament 10g), anthropometric data and lab tests. Results and Conclusions: We evaluated 59 patients. The average age was 61.9 years and most female; 52.5% are under 10 years of diagnosis and 59.3% are obese. The average glycated hemoglobin was 8.2 g%. It was observed diabetic peripheral neuropathy by 61%. Of these, 54.3% used insulin. At risk for diabetic foot are 78%. The frequency of patients with foot inspection demage was 50.8%. Hypertension is 78%. Only 15.3% are smokers. Using low cost tests whith easy application was possible to make early diagnosis of neuropathy and provide a Health Basic Unit intervention to prevent this serious complication.