Distal Symmetric Polyneuropathy Pain in Diabetes Mellitus

Daniella Silva Oggiam; Juliana Vallim Jorgetto; Guilherme Luiz Chinini; Denise Myuki Kusahara; Mônica Antar Gamba

doi:10.5294/aqui.2021.21.3.7

Autores

Daniella Silva Oggiam Autor Universidade Federal de São Paulo https://orcid.org/0000-0001-9814-8924
Juliana Vallim Jorgetto Autor Universidade Federal de São Paulo https://orcid.org/0000-0003-3758-5201
Guilherme Luiz Chinini Autor UniPinhal https://orcid.org/0000-0001-8548-0696
Denise Myuki Kusahara Autor Universidade Federal de São Paulo https://orcid.org/0000-0002-9498-0868
Mônica Antar Gamba Autor Universidade Federal de São Paulo https://orcid.org/0000-0003-1470-4474

DOI:

https://doi.org/10.5294/aqui.2021.21.3.7

Palavras-chave:

Neuropatias diabéticas, dor crônica, diabetes mellitus, complicações, fisioterapia, enfermagem

Resumo

Objetivo: avaliar a dor neuropática (DN), sua intensidade e suas complicações em pessoas com diabetes mellitus tipo 2 (DM2) numa cidade do leste de São Paulo, Brasil.

Método: estudo transversal realizado com 96 indivíduos com DM2 atendidos em unidades básicas de saúde em São João da Boa Vista, São Paulo. Foram utilizados os seguintes instrumentos para rastrear a DN: o instrumento para detectar a neuropatia de Michigan, a avaliação de sinais e sintomas neuropáticos de Leeds, o questionário de Douleur Neuropathique 4 e a escala breve da dor. Os dados foram analisados por meio de estatística descritiva e inferencial, com um nível de significância de 5 %.

Resultados: das 96 pessoas com DM2 durante mais de cinco anos, 22,9 % sentiam dor. A DN esteve relacionada com níveis altos de glicose em sangue em jejum (média = 214 ± 65,58 mg/dl; p = 0,0002), hemoglobina glicosilada (média = 8,8 ± 0,11 %; p < 0,001), ausência de dieta (p = 0,0066), obesidade (p = 0,023) e hipertensão arterial (p < 0,001).

Conclusões: os altos valores nas taxas de hemoglobina glicosilada aumentaram três vezes a probabilidade de DN. A detecção e o tratamento da neuropatia diabética dolorosa são um desafio, mas a adoção de um protocolo de detecção contribui para a prevenção secundária dessa manifestação.

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