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Study aim
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Investigating the effect of oral magnesium on Neuropathy Disability Score in patients with peripheral polyneuropathy of type 2 diabetes
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Design
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Clinical trial with control group, single blind, randomized, phase 3 is conducted on 60 patients.
By choosing a confidence level of 95%, a power of 80% for the two-domain test and an effect size of 0.8 and using G*power 3.1.9.2, the number of samples in each group 26 people were calculated, and considering the possibility of dropout, 30 people are expected in each group.
Creating a random sequence of Random Sequence Generation will be done in the form of simple randomization and through the preparation and shuffling of cards.
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Settings and conduct
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After obtaining informed consent, people referring to Loghman Hakim Hospital are randomly assigned to control or intervention group. patients are treated with magnesium or a placebo. After 2 months, the symptoms related to peripheral neuropathy will be compared with the time of the initial visit, and the effect of the intervention will be determined.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: men and women between the ages of 20 and 85 years old - type 2 diabetes- symptoms of distal neuropathy.
Exclusion criteria: other neuropathies, neuromuscular diseases, magnesium level > 2.1, magnesium consumption in the last 3 months, persistent diarrhea and vomiting, diuretic use, thyroid problems or levothyroxine use, chronic kidney disease, use of antidepressants or anticonvulsants or analgesics, pregnancy and breastfeeding, malignancy, amputation or active diabetic foot ulcer.
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Intervention groups
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The intervention group is treated with 300 mg of oral magnesium and the control group is treated with placebo daily for 2 months.
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Main outcome variables
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Vibration and temperature sensation, pin-prick test, knee reflex and Neuropathy Disability Score: both in the first visit and in the second visit.