Awareness of sensory decline in patients with type 2 diabetes mellitus

The goal of this paper is to assess the awareness of sensory impairment and balance decline in middle-aged patients with type 2 diabetes mellitus, receiving primary health care. Ninety-nine patients aged ≤65 years participated in the study. They were evaluated by clinical interview, a questionnaire of balance and specialized audiology, ophthalmology, peripheral neuropathy, and vestibular assessments. Although 52 patients (52 %, 95 % C.I. 42–62 %) had impairment of at least two senses, they were not aware of their sensory dysfunction or balance decline. Intentional questioning was not enough to detect hearing or visual deterioration but suggested somatosensory or vestibular dysfunction. Even the occurrence of frequent falls was underreported, unless intentionally investigated. The results support that education strategies are needed to increase awareness of sensory and balance decline in both patients and primary care professionals.