Abstract

CARBOTHERAPY IN THE MANAGEMENT OF PERIPHERAL VASCULAR DISEASE AND DIABETIC NEUROPATHY AMONG PATIENTS WITH DIABETES MELLITUS

Tasneem Mohamed, Alshaima Ahmed, Tamer Mohamed, Ammar Baddiay, Alneam Ahmed, Tarig Osman*, Hiba Abdelmoneim

ABSTRACT

Background and objectives: DN and PAD were found to have reasonably high proportions in diabetic patients. CO2 was found to help in wound healing and fat accumulation in arteries. This study was conducted to evaluate whether carbon dioxide therapy is useful in the management of peripheral vascular disease and diabetic neuropathy in diabetic patients. Method: A prospective, cross-sectional, health care centre-based study, carried out in Khartoum locality, 60 diabetic patients using Carbotherapy for the treatment of peripheral vascular disease and diabetic neuropathy were enrolled and have been directly interviewed before and after the treatment, and their data have been gathered via data collection forms. Data were analysed by the statistical package program (SPSS) version 25. A descriptive analysis was performed for all variables where frequencies and percentages have been used to express categorical variables. Comparisons between categorical variables were performed using Cross-tabulations. Results: 60 diabetic patients 25 males (42%) and 35 females (58%), their age range from 32 to 73 with mean age 53 (standard deviation 10), 62% living in Khartoum the rest are outside Khartoum. 85% and 15% of these patients used Carbotherapy for PVD and DN respectively, where 92% of them improved based on Doppler result and sensation improvement while 8% did not improve. HbA1c, BMI, BP, type and duration of diabetes had insignificant effect on improvement. The duration of Carbotherapy session was also found to not affect. Conclusion: This study concluded that Carbotherapy is effective in PVD and DN management and treatment of their symptoms and may lower the risk of amputations in diabetic patients with impaired blood circulation to the periphery. Its effects may be due to improving blood circulation by increasing blood flow by causing vasodilation of blood vessels and improving tissue oxygenation. This study recommends Carbotherapy for all patients with PVD and DN since at least may help in symptomatic relief.

Keywords: .