Prevalence of peripheral neuropathy in pre diabetic patients presenting to endocrinology department of DHQ Hospital Bannu.

Abstract

Objective: To determine the prevalence of peripheral neuropathy in pre-diabetic patients. Study Design: Cross-sectional, Observational. Setting: Endocrinology Department DHQ Hospital Bannu. Period: 11^th April 2025 to 11^th July 2025. Methods: A total of 132 pre-diabetic patients (HbA1c 5.7-6.4%) were studied using a non-probability consecutive sampling method. Peripheral neuropathy was diagnosed in these patients by endocrinologist through standard clinical neurological examination using 128Hz tuning fork (vibration, proprioception), tendon reflux testing and 10gm monofilament (touch sensation). Results: Out of 132 prediabetic patients, 48 (36.4%) reported neuropathic symptoms only (mostly burning sensations), while 69 (52.3%) were asymptomatic. Symptoms duration mostly ranged from 1 to 6 months. However, only 15 patients (11.4%) had both positive symptoms and positive signs of Peripheral neuropathy. Conclusion: Prediabetic patients frequently report neuropathic symptoms especially burning sensations, but clinical signs of peripheral neuropathy are less common. Early detection of neuropathy in prediabetic patients may prevent irreversible nerve damage in future.