AB900         INCIDENCE OF PERIPHERAL NEUROPATHY IN NEW ONSET DIABETES IN SOUTH AFRICAN BLACKS

Author(s): 
Grigorov V, Berger R, Varbanova M, Pillay K, Shaw A
HOUGHTON, Johannesburg, SOUTH AFRICA
Text: 
Background:
The incidence of diabetes Type 1 as well as Type 2 is increasing between the population of South African blacks. Poor diabetic control is quite regularly seen in this group of patients. Complications such as a peripheral neuropathy are quite common.
Aim: To compare the incidence and the time gap of onset of peripheral neuropathy in poorly controlled South African new onset black diabetics.
Methods: New onset black South African diabetics were assessed on the first visit and a couple of months later. Sugar control was assessed by diaries of the patients or the values that were obtained from the General practitioner that was following up the patient. The incidence of peripheral neuropathy was assessed after the first referral and a couple of months later.
Results: The incidence of peripheral neuropathy was quite common in patients with poorly controlled diabetes. Much lower incidence was observed in patients with good diabetic control. The incidence of peripheral neuropathy was much more common in the lower income group which was directly related to poor diabetic control.
Conclusion:
The incidence of diabetic neuropathy is common in South African blacks with poorly controlled diabetes. The incidence is often quite recent after the onset of diabetes if the values of the blood sugar are quite high. Higher incidence is found in the lower income group which tends to have poor sugar values due to various reasons.