Literature Review

Literature Review

Diabetes is a widely found disease and almost 20 million Americans are suffering from diabetes and this number increases to almost five per cent annually (Smilth & Singleton, 2013). Smilth & Singleton (2013) have presented the relationship between dysliidemia, obesity and neuropathy and hypertension by considering 218 UDNS subjects. The result of this study suggest that both dyslipidemia and obesity challenge the traditional belief in type 2 diabetes hyperglycemia is the dominant factor. Furthermore, the results of the study suggest that various nerve fiber classes might be vulnerable to dyslipidemic and hyperglycemic injury (Smilth & Singleton, 2013). For this study the type 2 diabetes patients with 18 to 65 years of age were selected from the university of Utah health care network (Smilth & Singleton, 2013). For this research (Smilth & Singleton, 2013), the patients who had a history of medical conditions associated with neuropathy were excluded from the research (Smilth & Singleton, 2013). Each subject in this research was asked to complete a questionnaire regarding the exposure to potentially neurotoxic medications. The results of this research showed that the mean age was 59 (Smilth & Singleton, 2013).

Boyraz & Saracogly (2010) studied the comparison of the MNSI patient version test and the physical test related to the assessment of the diabetic peripheral neuropathy in both the obese and non- obese patients( Boyraz & Saracogly, 2010).The major focus of this study was on the 70 type 2 diabetic patients (Boyraz & Saracogly, 2010). The authors in this study conducted the MNSI physical assessment and physical version test. Furthermore, for the diagnosis of the diabetic peripheral neuropathy the performance of the nerve conduction studies was performed (Boyraz & Saracogly, 2010). The results of this study suggested that the Michigan patient versions not significant for the diabetic patients who were experiencing peripheral neuropathy (Boyraz & Saracogly, 2010). However, the scores of the Michigan physical assessment increased in these patients significantly(Boyraz & Saracogly, 2010). The BMI in these patients was also greater than or equal to 30. However, the patients whose BMI was less than 30 both the Michigan patient version and the Michigan physical assessment significantly increased (Boyraz & Saracogly, 2010). This study concluded that the in the screening of the diabetic peripheral neuropathy, Michigan physical assessment is more useful as compared to the Michigan patient version (Boyraz & Saracogly, 2010).

Gharibeh, Tawallbeh & Abboud (2000) in this study, assessed the relationship between obesity, resisting levels and insulin resistance in the type 2 diabetic patients (Gharibeh, Tawallbeh & Abboud, 2000). The sample taken for this study included the Jordanian population. Almost 140 people experiencing the type 2 diabetic patients were selected and there were also 125 control subjects (Gharibeh, Tawallbeh & Abboud, 2000). The result of this study founded the high level of serum resistance levels in the type 2 diabetic patients as compared to the controls. Furthermore, this study found that body mass index, blood pressure, urea and insulin resistance was comparatively higher in the diabetic patients as compared to ...