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ORIGINAL ARTICLE
Year : 2020  |  Volume : 15  |  Issue : 2  |  Page : 282-286

Musculoskeletal manifestations in type 2 diabetes mellitus in South India


Department of General Medicine, KS Hegde Medical Academy, Mangalore, Karnataka, India

Correspondence Address:
Dr. Adithi Kellarai
Department of General Medicine, KS Hegde Hospital, Deralakatte, Nithyananda Nagar, Mangalore - 575 018, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_264_20

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Background and Objectives: Diabetes mellitus (DM) is a chronic metabolic disease with high morbidity and mortality. Musculoskeletal disorders (MSDs) are a wide range of problems resulting in pain and impaired physical function in these patients. These disorders are usually neglected and pose a hindrance in delivering an effective exercise regimen, which is the mainstay in the treatment of DM along with diet and medications. Hence, we conducted this study to identify and describe the MSDs seen in Type 2 DM (T2DM) and to correlate it with glycemic control. Methodology: A prospective cross-sectional study was conducted in a tertiary care hospital in the coastal district of Dakshina Kannada in Karnataka for 18 months. Patients with T2DM were screened for MSD and if present were included for the study. Demographic data, symptoms of MSD, and laboratory data like fasting and postprandial blood sugars and glycated hemoglobin (HbA1C) were collected using suitable data collection form. Data were analyzed using descriptive statistics. Results: A total of 80 patients with T2DM and MSD were included in the study, where 40 (50%) were male and 40 (50.0%) were female. The mean age of the study population was 58.54 ± 10.09 years. The mean fasting blood sugar level was 185 ± 36.12, Postprandial blood sugar level was 251.70 ± 55.51 and HbA1C level was 9.92 ± 1.46. The most common MSD among the patients with T2DM was frozen shoulder which accounted for 42/80 (52%) patients. Subjects with carpal tunnel syndrome (CTS) (P– 0.004) and Charcot joint (P– 0.003) had significantly higher mean HbA1c values than in subjects without these disorders. The mean HbA1C values among subjects with trigger finger (P– 0.012) and frozen shoulder (P– 0.011) were significantly lower than in subjects without the respective disorders. Conclusion: MSDs are highly prevalent among patients with T2DM. The most common MSD to manifest in patients with T2DM is frozen shoulder. There is positive correlation between HbA1c and presence of CTS and Charcot's joint and negative correlation between HbA1c and presence of trigger finger and frozen shoulder. Many of these disorders are treatable especially if diagnosed early and can improve quality of life in diabetic patients by reducing morbidity associated with these disorders.


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