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The Neurology of Diabetes Mellitus in Central Africa
Author(s) -
Rolfe M.
Publication year - 1988
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/j.1464-5491.1988.tb01014.x
Subject(s) - medicine , diabetes mellitus , peripheral neuropathy , diabetic neuropathy , neurology , population , endocrinology , psychiatry , environmental health
Six‐hundred African diabetic patients were examined; 31% had peripheral neuropathy and 2% autonomic neuropathy. They were older and had had diabetes longer ( p <0.001) than those without neuropathy. Blood glucose control, based on HbA 1 levels, was poorer ( p <0.05) in patients with neuropathy. A control group of 469 non‐diabetic Africans was also examined. They were age‐ and sex‐matched with the diabetic patients aged 35 years or more. Seven per cent had evidence of peripheral neuropathy, significantly less ( p <0.001) than the diabetic population. Impotence was commoner in diabetic men than controls, mainly in association with neuropathy and the use of hypotensive drugs.