The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.
The relationship between blood glucose excursions and painful diabetic peripheral neuropathy: a pilot study
Abstract
Aims Peripheral neuropathy affects 30% of Type 1 diabetic patients. Unfortunately, 10–20% of affected patients have disabling symptoms. The aim of this study was to examine the relationship between blood glucose excursions and pain in patients with symptomatic diabetic neuropathy. Methods Twenty Type 1 diabetic patients with peripheral neuropathy (10 painful and 10 painless) wore a continuous glucose monitoring system for 3 days. Symptomatic patients kept a daily pain score diary. The mean amplitude of glycaemic excursions (MAGE) and the M‐values (measure of glucose deviations from an arbitrarily selected point) were calculated. Results Groups were matched for (mean ± sd) age: 52.0 ± 11.1 years; duration of diabetes: 24.8 ± 10.7 years; HbA 1c: 9.7 ± 2.3%; duration of neuropathy: 5.6 ± 2.6 years; and CGMS performance. The painful group had a greater mean glucose (12.1 ± 2.9 mmol/l vs. 9.3 ± 1.9 mmol/l, P = 0.02), a greater M‐value (68.4 vs. 31.1, P = 0.02) and more glycaemic excursions (13 vs. 10, P < 0.01), compared with the painless group. However, there was no difference in the MAGE between both groups, and no correlation between the number of glycaemic excursions and the number of painful episodes in the painful group. Conclusions Patients with painful neuropathy have greater glucose flux and possibly poorer diabetes control, compared with patients with painless neuropathy.
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Young, M. J., Boulton, A. J. M., Macleod, A. F., Williams, D. R. R., & Sonksen, P. H. (1993) · Diabetologia · doi:10.1007/bf00400697 · Cited by 1,502
Self-citationWANG, P. (1993) · The Lancet · doi:10.1016/0140-6736(93)90816-y · Cited by 446
Cited by
Diabetic neuropathy: A position statement by the American Diabetes Association
Pop-Busui, R., Boulton, A. J. M., Feldman, E. L., Bril, V., Freeman, R., Malik, R. A., Sosenko, J. M., & Ziegler, D. (2017) · Diabetes Care · doi:10.2337/dc16-2042 · Cited by 2,602
Self-citationBoulton, A. J. M., Malik, R. A., Arezzo, J. C., & Sosenko, J. M. (2004) · Diabetes Care · doi:10.2337/diacare.27.6.1458 · Cited by 913
Self-citationAdvances in the epidemiology, pathogenesis and management of diabetic peripheral neuropathy
Tesfaye, S., & Selvarajah, D. (2012) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.2239 · Cited by 615
Tesfaye, S., Vileikyte, L., Rayman, G., Sindrup, S. H., Perkins, B. A., Baconja, M., Vinik, A. I., Boulton, A. J. M., & Neuropathy, O. B. O. T. T. E. P. O. D. (2011) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.1225 · Cited by 410
Self-citationVinik, A. I., Nevoret, M.-L., Casellini, C., & Parson, H. (2013) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/j.ecl.2013.06.001 · Cited by 366
Metadata
- Authors
- Oyibo, S. O., Prasad, Y. D. M., Jackson, N. J., Jude, E. B., & Boulton, A. J. M.
- Venue
- Diabetic Medicine
- Publisher
- Wiley
- Published
- 2002-10
- Volume
- 19
- Issue
- 10
- Pages
- 870-873
- ISSN
- 0742-3071 (ISSN-L)
- 1464-5491
- OpenAlex
- W2127107310
- Cited by
- 194
- References
- 2
- FWCI
- 2.90
- Type
- journal article
- Language
- en
- Open access
- closed
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- Oyibo, S. O., Prasad, Y. D. M., Jackson, N. J., Jude, E. B., & Boulton, A. J. M. (2002). The relationship between blood glucose excursions and painful diabetic peripheral neuropathy: a pilot study. Diabetic Medicine. https://doi.org/10.1046/j.1464-5491.2002.00801.x
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