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Insensate versus painful diabetic neuropathy: the effects of height, gender, ethnicity and glycaemic control

Sorensen, Lea, Molyneaux, Lynda, Yue, Dennis K.·2002·Diabetes Research and Clinical Practice
DOI 10.1016/s0168-8227(02)00010-4
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Abstract

Aims/hypothesis To study similarities and differences between people with insensate or painful diabetic peripheral neuropathy, particularly in relation to height, gender, ethnicity and glycaemic control. Methods We studied prospectively 2610 patients with Type 2 diabetes attending our Diabetes Centre. Subjects were compared according to degree of sensory loss, and presence or absence of neuropathic pain. The effects of gender and ethnicity were evaluated by studying patients in different height bands. Results Insensate neuropathy and painful neuropathy was present in 11.4 and 3.3% of subjects, respectively. Age, duration of diabetes, height, vibration perception and HbA(1c) (P Conclusions There is significant overlap but also considerable dichotomy in the two major forms of diabetic sensory peripheral neuropathy. The insensate type is more explainable by duration, degree of hyperglycaemia and length of peripheral nerves, factors that are likely to reflect severity of underlying structural nerve damage. Glycaemic control was not a predictor of painful neuropathy.

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Research works printed but not linked: 12

  1. Boulton, 1986, Impaired vibratory perception and diabetic foot ulceration, Diabetic Med., 3, 335, 10.1111/j.1464-5491.1986.tb00775.x · DOI
  2. McGill, 1998, Use of the Semmes Weinstein 5.07/10 g monofilament: the long and the short of it, Diabetic Med., 15, 615, 10.1002/(SICI)1096-9136(199807)15:7<615::AID-DIA641>3.0.CO;2-P · DOI
  3. Britland, 1990, Association of painful and painless diabetic polyneuropathy with different patterns of nerve fibre degeneration and regeneration, Diabetes, 39, 898, 10.2337/diabetes.39.8.898 · DOI
  4. Sosenko, 1986, Body stature as a risk factor for diabetic neuropathy, Am. J. Med., 80, 1031, 10.1016/0002-9343(86)90661-3 · DOI
  5. Gadia, 1987, Influence of height on quantitative sensory, nerve-conduction and clinical indices of diabetic peripheral neuropathy, Diabetes Care, 10, 613, 10.2337/diacare.10.5.613 · DOI
  6. Cohen, 1998, Risks for sensorimotor peripheral neuropathy and autonomic neuropathy in non-insulin dependent diabetes mellitus, Muscle Nerve, 21, 72, 10.1002/(SICI)1097-4598(199801)21:1<72::AID-MUS10>3.0.CO;2-2 · DOI
  7. Dray, 1998, The how and why of chronic pain states and the what of new analgesia therapies, Trends Neurosci., 21, 315, 10.1016/S0166-2236(98)01291-0 · DOI
  8. Canaver, 1998, The neurochemistry of central pain: evidence from clinical studies, hypothesis and therapeutic implications, Pain, 74, 109, 10.1016/S0304-3959(97)00089-4 · DOI
  9. Gibson, 2000, Cognitive factors and the experience of pain and suffering in older persons, Pain, 85, 375, 10.1016/S0304-3959(99)00284-5 · DOI
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Metadata

Authors
Sorensen, L., Molyneaux, L., & Yue, D. K.
Venue
Diabetes Research and Clinical Practice
Publisher
Elsevier BV
Published
2002-07
Volume
57
Issue
1
Pages
45-51
ISSN
0168-8227
DOI
10.1016/s0168-8227(02)00010-4
Cited by
71
References
0
Language
en
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)

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Sorensen, L., Molyneaux, L., & Yue, D. K. (2002). Insensate versus painful diabetic neuropathy: the effects of height, gender, ethnicity and glycaemic control. Diabetes Research and Clinical Practice. https://doi.org/10.1016/s0168-8227(02)00010-4