Endocrine Abstracts

Introduction: Musculoskeletal disease is one of the common symptoms observed in people with diabetes. Shoulder pain is found to be the most common symptom and can lead to hindrance in daily activities that can directly or indirectly influence the metabolic processes of our body affecting the quality of life. Hence, we studied the prevalence of shoulder pain and its functional limitations among patients with uncontrolled diabetes mellitus (DM).

Materials: This cross-sectional study was conducted in OAK Hospital and ICON Multispecialty Hospital, Dombivali from October 2022 to December 2022. Included all patients with uncontrolled DM (HbA1c > 8.5) who have visited the clinic. Responses were captured via Interviews using a previously validated questionnaire, the American Shoulder and Elbow Surgeons Evaluation Form. Informed consent was obtained from the participants.

Results: A total of 125 patients were included in the study; 72 (57.6%) were females and 130 (42.4%) were males. Around 76 (60.8%) of the patients were aged 41-60 years. The people with T2DM (90.4%) were the majority. The mean HbA1c level was 10.12%. Shoulder pain was present in 45 (36%) patients. Amongst them, 35.5% were between 41 and 60 years and 48.8% were between 61 and 80 years. The mean shoulder pain intensity for all patients was 5.61±3.1. There was a significant correlation (P<0.05) in different age groups.

Conclusions: Shoulder dysfunction with its increased prevalence needs an early diagnosis and management. It is advised to include screening, prevention, and rehabilitation strategies for shoulder dysfunction in diabetic care programs to improve the daily lifestyle of the patients.

Keywords: T2DM, Shoulder Pain, Quality of life.

Reference: 1. American Shoulder and Elbow Surgeons (ASES) Assessment Form, Journal of Orthopaedic Trauma: 2006; 20(8): S114-S117