The number of diabetic patients in the Asia Pacific, the Middle East and African regions is projected to rise from 393 million in 2021 to 603 million by 2045. Of these, more than half are reported to develop peripheral neuropathy in their lifetimes.
THE number of diabetic patients in the Asia Pacific, the Middle East and African regions is projected to rise from 393 million in 2021 to 603 million by 2045. Of these, more than half are reported to develop peripheral neuropathy in their lifetimes.
Malik is a professor of medicine at Weill Cornell Medicine and a consultant physician at the Central Manchester University Teaching Hospital. Speaking at the forum, he shared that peripheral neuropathy is highly underdiagnosed in Southeast Asia and the Middle East due to a lack of consensus guidance on routine screening and diagnostic pathways. Further, this complication often progresses asymptomatically.
“A long time ago, somebody called it a ‘Cinderella’ complication. When you think of diabetes, you think of heart attacks, strokes and kidney failures. But actually, peripheral neuropathy is more common than any of those complications. At least 50 percent of people diagnosed with diabetes get it,” said Malik.
“This has a major impact on the quality of life [of the patients as] foot ulceration and amputation [have] an associated five-year mortality of 40 percent and 80 percent, respectively,” Malik said. Diagnostic screening questionnaires, such as the McGill Pain Questionnaire, NeuroQoL and Neuropathy Symptom Score, are available and accessible to most health-care professionals.
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