THE EFFECT OF LIFESTYLE INTERVENTIONS ON DIABETIC NEUROPATHY

Shams, SH and Asgharzadeh, H and Khalkhali, H.R and Soheili, S and Ghavami, H (2015) THE EFFECT OF LIFESTYLE INTERVENTIONS ON DIABETIC NEUROPATHY. The Journal of Urmia Nursing and Midwifery Faculty, 13 (6). pp. 511-517.

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Abstract

Diabetic peripheral neuropathy likely affects up to one-third of adults with diabetes. All diabetic patients are likely to develop peripheral neuropathy if they live sufficiently long. Drug therapy has limited potential for controlling the associated pain. Alternative methods of treatment have thus far demonstrated limited success, so the aim of study was evaluating the effect of lifestyle interventions on diabetic neuropathy severity among diabetic outpatients that suffering diabetic neuropathy. Material & Methods: This clinical trial was performed as time series on 76 patients with diabetic neuropathy, in Urmia in the year of 2013. After matching the study variables, the patients were divided equally and with random allocation to two experiment and control groups. The lifestyle interventions were performed for the experiment group beginning 4 educative sessions on diabetes self- care that emphasizes strategies for glucose monitoring, dietary and exercise habits, foot care, medication taking and coping. Each session was lasted for1.5 hours.Then, these patients were followed for 12 weeks. During these 12 weeks, they were given counseling on lifestyle interventions. Diabetic neuropathy symptom severity in both groups was measured by using Toronto Clinical Neuropathy Score at the beginning of study and then at the end of counseling for 12 weeks. The data were analyzed by SPSS 16.0 software using t-test . Results: There wasn’t any difference between the mean of diabetic neuropathy symptom severity in both study groups before the intervention, but comparing the mean of diabetic neuropathy symptom severity after intervention, there was a significant difference (p<0.001) among the two groups of the study. Conclusions: These findings indicate that lifestyle interventions including diet and exercise counselling for diabetic neuropathy patients result in decreasing neuropathic symptom severity, and reducing pain.

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