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- Title
Low peripheral nerve conduction velocities and amplitudes are strongly related to diabetic microvascular complications in type 1 diabetes: the EURODIAB Prospective Complications Study.
- Authors
Charles M; Soedamah-Muthu SS; Tesfaye S; Fuller JH; Arezzo JC; Chaturvedi N; Witte DR; EURODIAB Prospective Complications Study Investigators; Charles, Morten; Soedamah-Muthu, Sabita S; Tesfaye, Solomon; Fuller, John H; Arezzo, Joseph C; Chaturvedi, Nishi; Witte, Daniel R
- Abstract
<bold>Objective: </bold>Slow nerve conduction velocity and reduction in response amplitude are objective hallmarks of diabetic sensorimotor polyneuropathy. Because subjective or clinical indicators of neuropathy do not always match well with the presence of abnormal nerve physiology tests, we evaluated associations to nerve conduction in patients with type 1 diabetes.<bold>Research Design and Methods: </bold>Nerve conduction studies were performed in the distal sural and ulnar sensory nerves and the peroneal motor nerve in 456 individuals with type 1 diabetes who participated in the follow-up visit of the EURODIAB Prospective Complications Study (EPCS). We used multivariate regression models to describe associations to decreased nerve conduction measures.<bold>Results: </bold>In addition to an effect of duration of diabetes and A1C, which were both associated with low nerve conduction velocity and response amplitude, we found that the presence of nephropathy, retinopathy, or a clinical diagnosis of neuropathy was associated with low nerve conduction velocity and amplitude. In the case of nonproliferative retinopathy, the odds ratio (OR) for being in lowest tertile was 2.30 (95% CI 1.13-4.67) for nerve conduction velocity. A similar OR was found for each 2% difference in A1C (2.39 [1.68-3.41]).<bold>Conclusions: </bold>We show that the presence of other microvascular diabetes complications, together with diabetes duration and A1C, are associated with low nerve conduction velocity and amplitude response and that cardiovascular disease or risk factors do not seem to be associated with these measures.
- Publication
Diabetes Care, 2010, Vol 33, Issue 12, p2648
- ISSN
0149-5992
- Publication type
journal article
- DOI
10.2337/dc10-0456