ANALYSIS OF BALANCE DYSFUNTION AND FALL RISK IN PATIENTS WITH DAIBETES : AN OBSERVATIONAL STUDY.

Background: Diabetes Mellitus (DM) it is metabolic disorder in which there are high blood sugar levels over a prolonged period. Neuropathies are one of the most common complication of DM. DN may compromise balance during daily activities. Patients with DN have a fivefold increased risk of falling and the consequences include decline in mobility, activity avoidance, institutionalization and mortality. Aims and Objectives: the aim of the study to analysis of balance dysfunction and fall risk in diabetic patients. Material and method: An observational study was conducted in Dr.VitthalraoVikhePatil Memorial Hospital, Ahmednagar. Also door-to-door patients were taken with type 2 DM in Bhingar. Camps were also held at Vadgoan Gupta &GulmoharRoad,Ahmednagar. This study also included patients with Type 2 DM attendingDr. Bharat?s Diabetic Clinic & Foot Care, Ahmednagar.80 patients with diabetes were taken.The presence and severity of DN was evaluated using the Michigan Neuropathy Screening Instrument, a tool which allows both diagnosing and severity staging of DN. The balance impairment and the risk of falls were evaluated using two validated and standardized tools: Berg Balance Scale (BBS), Timed-up and Go test (TUG). Result:According to our study which was done on 80 patients with daibetes with age group 40-50 and 51-60.we found out that there is extreamely significant result which shows patients with diabetic neuropathy had high risk of fall and balance impairment as compared to non neuropathic patients. Conclusion: The study concluded that there is higher chances of balance dysfunction and fall risk in diabetic neuropathy amongst diabetic people in Ahmednagar City and more and more awareness is necessary to reduce the chances of disability due to diabetic neuropathy.