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Diabetes mellitus is a metabolic disorder characterized by hyperglycemia, which results from defects in insulin secretion, insulin action, or both. Deficiency in insulin leads to chronic hyperglycemia with disturbances of protein, carbohydrate and fat metabolism. 1) Most of the diabetics belong to developing countries with the age range of 40-60 years at a higher risk of developing complications related to diabetes 2).The changing lifestyle, decreased physical activity and dietary habits clearly signify that there is a shift in the global epidemiology of type 2 diabetes and its complications like neuropathy, retinopathy and nephropathy, myocardial infarction and stroke or even mortality. 3) Diabetic peripheral neuropathy is the most frequently occurring complication in type 2 diabetes. Peripheral neuropathy affects up to 50-70% of the population with diabetes. 3) The presence of autonomic neuropathy dramatically shortens the patients’ longevity and increases the mortality. Loss of sensation in the lower limbs is a high risk for foot ulcers and limb amputation, which occurs in 1–2% of diabetic population. 4) Diabetes mellitus and its complications like peripheral neuropathy does not spare any professionals including doctors, businessmen, teachers, and road transport drivers etc. Road transport drivers are among the professional groups whose activities have a strong impact on public safety. Road transport drivers like passenger transport operations and truck driving are closely associated with the responsibility for other people’s lives. 5) In view of the nature of their professional activity, which involves exposure to stress, a sitting working mode, and a shift and night work, the drivers are at a higher risk for developing diabetic complications as most of the drivers doesn’t not follow appropriate diabetes foot care due to their busy professional schedule. 6) This can increase the risk for traffic accidents due to loss of sensation and proprioception of the feet while driving public vehicles as a result of peripheral neuropathy. Therefore the purpose of this case study is to emphasise the need for early screening for diabetes and its complications among public transport professionals.

Need For Early Diabetic Peripheral Neuropathy Screening among Public Transport Professionals. A Case Report