title: Screening for peripheral neuropathy and peripheral arterial disease in persons with diabetes mellitus in a Nigerian University Teaching Hospital.
abstract: BACKGROUND
  Identifying the risk factors for diabetes mellitus related foot ulceration would save more limbs from amputation. This report focuses on the determining the burden of peripheral arterial disease and neuropathy in persons with diabetes mellitus (DM).
  
  
  METHODS
  This is a descriptive study carried out in the Diabetic Clinic of the Lagos State University Teaching Hospital in patients with DM who had no past/present history of foot ulceration. Biothesiometry was employed and ankle brachial pressure indices were measured to evaluate for neuropathy and peripheral arterial disease (PAD) respectively.
  
  
  RESULTS
  A total of 225 persons living with DM who met inclusion criteria were recruited consecutively over a 3 months period. Age range was 28-87 years with the mean [61.4 (10.8)] and median (63) years respectively. Patients symptomatic for neuropathy and PAD were 37 and 40 % respectively of the study population. An older age of >60 years and poor glycaemic control were potential predictors of neuropathy. Neuropathy and PAD occurred commonly in the seventh decade of life.
  
  
  CONCLUSIONS
  Given the fairly high proportions of neuropathy and PAD in our patients with DM, we recommend that they be routinely examined in persons with DM.
authors.affiliation: Department of Medicine, Lagos State University College Of Medicine, Ikeja, Lagos, Nigeria. oogbera@yahoo.co.uk.
authors.forename: Anthonia O
authors.initials: AO
authors.lastname: Ogbera
authors.affiliation: Department of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria. funmiadeleye2004@yahoo.com.
authors.forename: Olufunmilayo
authors.initials: O
authors.lastname: Adeleye
authors.affiliation: Department of Surgery, Lagos State University College Of Medicine, Ikeja, Lagos, Nigeria. solagberu@gmail.com.
authors.forename: Babatunde
authors.initials: B
authors.lastname: Solagberu
authors.affiliation: Department of Medical Laboratory Sciences, University of Lagos, Idi-araba, Lagos, Nigeria. alfredaze@yahoo.com.
authors.forename: Alfred
authors.initials: A
authors.lastname: Azenabor
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003920:Diabetes Mellitus / Q000175:diagnosis* / Q000453:epidemiology; D017719:Diabetic Foot / Q000453:epidemiology; D050171:Dyslipidemias / Q000150:complications / Q000175:diagnosis; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D008055:Lipids / Q000097:blood; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D009549:Nigeria / Q000453:epidemiology; D058729:Peripheral Arterial Disease / Q000097:blood / Q000150:complications* / Q000175:diagnosis*; D010523:Peripheral Nervous System Diseases / Q000097:blood / Q000150:complications* / Q000175:diagnosis*; D012307:Risk Factors; D014495:Universities
chemical_list: D008055:Lipids