Presence of Subclinical Polyneuropathy in Patients with Elevation of Hba1c.

IF 1 4区医学 Q4 CLINICAL NEUROLOGY

Noropsikiyatri Arsivi-Archives of Neuropsychiatry Pub Date : 2023-10-25 eCollection Date: 2024-01-01 DOI:10.29399/npa.28413

Yılmaz Çetinkaya, Güler Özdemir, Buse Rahime Hasirci Bayir, Cemile Handan Misirli

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引用次数: 0

Abstract

Introduction: It is aimed to investigate the relationship between the asymptomatic individiuals with elevated HbA1c and occurrence of polyneuropathy by way of comparison to normoglycemic condition.

Methods: The study includes 30 female patients diagnosed with subclinical elevation of HbA1c and 30 normoglycemic healthy female patients who applied to our hospital polyclinics with symptoms other than neuropathy between January-March 2017. Nerve conduction examination is done in these patients, parameters of both groups are compared.

Results: In regard to amplitude distribution; when compared to control group, tibial motor and ulnar sensory nerve amplitude is lower than the control group (p<0.05). In peroneal, median and ulnar motor nerves, distal latency values are extended compared to control group (p<0.05). Sural, median and ulnar sensory nerve latency is extended compared to control group. In terms of transmission rate distribution; in sural, median and ulnar sensory nerve, transmission speed is lower compared to the control group (p<0.05).

Conclusions: In asymptomatic cases with subclinical elevation of HbA1c, peripheral nervous system involvement is monitored, and early glycemic control should be provided in order to prevent development of neuropathy in patients.

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Hba1c 升高患者中是否存在亚临床多发性神经病？

内容简介本研究旨在通过与血糖正常者进行比较，探讨无症状 HbA1c 升高者与多发性神经病发生之间的关系：研究对象包括2017年1月至3月期间因神经病变以外的症状到我院综合门诊就诊的30名确诊为亚临床HbA1c升高的女性患者和30名血糖正常的健康女性患者。对这些患者进行神经传导检查，比较两组患者的参数：在振幅分布方面，与对照组相比，胫骨运动神经和尺侧感觉神经振幅低于对照组（p结论：在 HbA1c 亚临床升高的无症状病例中，应监测外周神经系统受累情况，并尽早控制血糖，以防止患者发生神经病变。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Noropsikiyatri Arsivi-Archives of Neuropsychiatry CLINICAL NEUROLOGY-

CiteScore

1.70

自引率

9.10%

发文量

审稿时长

6-12 weeks

期刊介绍： Archives of Neuropsychiatry (Arch Neuropsychiatry) is the official journal of the Turkish Neuropsychiatric Society. It is published quarterly, and four editions annually constitute a volume. Archives of Neuropsychiatry is a peer reviewed scientific journal that publishes articles on psychiatry, neurology, and behavioural sciences. Both clinical and basic science contributions are welcomed. Submissions that address topics in the interface of neurology and psychiatry are encouraged. The content covers original research articles, reviews, letters to the editor, and case reports.