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February 25, 2012 — Broken glycemia (IG) is not a accident agency for archetypal or aberant diabetic polyneuropathy, according to the allegation of a population-matched -to-be study.
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Peter J. Dyck, MD, from the Mayo Clinic in Rochester, Minnesota, and colleagues appear their allegation in the March affair of Diabetes Care.
The authors agenda that the allegation apropos associations amid IG and both archetypal and aberant diabetic polyneuropathy accept been inconsistent. "de Neeling et al. advised assumption advice aberancy and added neurophysiologic tests in patients after and with [impaired glucose altruism (IGT)], new-onset diabetes, and accustomed diabetes and begin 'large cilia assumption dysfunction' aural the ambit of IGT to diabetes (P < 0.05)," the authors write. "However in a abstraction by Isak et al. application cold assumption advice measurements, no access attributable to IG was found."
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The authors conducted a analysis in Olmsted County in Minnesota to analyze patients after IG, with IG, and with new diabetes in bounded population-based medical and class registries. Amid the 542 age- and sex-matched volunteers (150 with non-IG, 174 with IG, and 218 with new diabetes) who completed the study, the accident of diabetic neuropathy was not decidedly altered amid individuals with IG and those after IG for both almost (odds arrangement [OR], 0.9; 95% aplomb breach [CI], 0.2 - 4.3; P = .85) and broadly (OR, 1.0; 95% CI, 0.5 - 1.9; P = 1.00) authentic diabetic neuropathy.
However, the abundance of diabetic neuropathy was college amid individuals with new diabetes, decidedly back diabetic neuropathy was authentic almost (new diabetes vs non-IG: OR, 4.1; 95% CI, 1.2 - 14.4; P = .02; new diabetes vs IG: OR, 4.8; 95% CI, 1.4 - 16.7; P < .01).
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In the restudy, the authors authentic non-IG, IG, and new diabetes as follows: non-IG: abnegation claret glucose (FPG) akin lower than 5.6 mmol/L, a 2-hour articulate glucose altruism analysis (OGTT) akin lower than 7.8 mmol/L, and the absence of new diabetes; IG: FPG akin of 5.6 mmol/L or college and lower than 7.0 mmol/L, a 2-hour OGTT akin of 7.8 mmol/L or college and lower than 11.1 mmol/L; new diabetes: FPG akin of 7.0 mmol/L or higher, 2-hour OGTT akin of 11.1 mmol/L or lower, or claret A1c levels of 6.5% or higher.
The accident of retinopathy and nephropathy was college in the accumulation with new diabetes (9.4% and 10.7%, respectively), which was college than that in the non-IG (3.4% and 4.1%, P = .03 and P = .02, respectively) and IG (4.7% and 4.7%, P = .08 and P = .03, respectively) groups. No differences in the accident of retinopathy and nephropathy were empiric amid the IG and non-IG groups.
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The authors acknowledgment that their allegation ability accept several implications. "By assuming that IG abandoned does not account diabetic microvessel complications, our after-effects abutment present [American Diabetes Association] belief for the analysis of diabetes, based on the abstraction that the everyman akin of abiding hyperglycemia that induces microvessel complications should be the basal belief for the analysis of diabetes," the authors write.
"Our findings, however, should not abate apropos about IG as a accident covariate for macro- and microvessel complications back IG usually leads to [type 2 diabetes mellitus], which is accepted to account such complications."
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The authors accept appear no accordant banking relationships.
Diabetes Care. 2012;35:584-591. Abstract
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