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Older Subjects With Diabetes and Prediabetes Are Frequently Unaware of Having Distal Sensorimotor Polyneuropathy: The KORA F4 Study

OBJECTIVE: Distal sensorimotor polyneuropathy (DSPN) is a severe complication of type 2 diabetes. This study aimed to assess the prevalence of unawareness of DSPN in prediabetes and diabetes in a sample of the older population of Augsburg, Germany. RESEARCH DESIGN AND METHODS: Glucose tolerance stat...

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Autores principales: Bongaerts, Brenda W.C., Rathmann, Wolfgang, Heier, Margit, Kowall, Bernd, Herder, Christian, Stöckl, Doris, Meisinger, Christa, Ziegler, Dan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Diabetes Association 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3631873/
https://www.ncbi.nlm.nih.gov/pubmed/23275355
http://dx.doi.org/10.2337/dc12-0744
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author Bongaerts, Brenda W.C.
Rathmann, Wolfgang
Heier, Margit
Kowall, Bernd
Herder, Christian
Stöckl, Doris
Meisinger, Christa
Ziegler, Dan
author_facet Bongaerts, Brenda W.C.
Rathmann, Wolfgang
Heier, Margit
Kowall, Bernd
Herder, Christian
Stöckl, Doris
Meisinger, Christa
Ziegler, Dan
author_sort Bongaerts, Brenda W.C.
collection PubMed
description OBJECTIVE: Distal sensorimotor polyneuropathy (DSPN) is a severe complication of type 2 diabetes. This study aimed to assess the prevalence of unawareness of DSPN in prediabetes and diabetes in a sample of the older population of Augsburg, Germany. RESEARCH DESIGN AND METHODS: Glucose tolerance status was determined in 61- to 82-year-old participants of the population-based KORA F4 Study (2006–2008) (n = 1,100). Clinical DSPN was defined as the presence of bilaterally impaired foot-vibration perception and/or bilaterally impaired foot-pressure sensation. DSPN case subjects were considered unaware of their condition when answering “no” to the question, “Has a physician ever told you that you are suffering from nerve damage, neuropathy, polyneuropathy, or diabetic foot?” RESULTS: Clinical DSPN was prevalent in 154 (14%) participants, 140 of whom were unaware of their disorder. At a prevalence of 23.9% (95% CI 12.6–38.8), participants with combined impaired fasting glucose and impaired glucose tolerance had the highest prevalence of DSPN. Of these, 10 of 11 (91%) were unaware of having clinical DSPN. Participants with known diabetes had an equally high prevalence of DSPN [22.0% (16.2–28.9)], with 30 of the 39 (77%) DSPN case subjects unaware of having the disorder. Among subjects with known diabetes who reported to have had their feet examined by a physician, 18 of 25 (72%) clinical DSPN case subjects emerged unaware of having DSPN. CONCLUSIONS: Our findings showed a high prevalence of unawareness of having clinical DSPN among the prediabetic and diabetic groups and an insufficient frequency of professional foot examinations, suggesting inadequate attention to diabetic foot prevention practice.
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spelling pubmed-36318732014-05-01 Older Subjects With Diabetes and Prediabetes Are Frequently Unaware of Having Distal Sensorimotor Polyneuropathy: The KORA F4 Study Bongaerts, Brenda W.C. Rathmann, Wolfgang Heier, Margit Kowall, Bernd Herder, Christian Stöckl, Doris Meisinger, Christa Ziegler, Dan Diabetes Care Original Research OBJECTIVE: Distal sensorimotor polyneuropathy (DSPN) is a severe complication of type 2 diabetes. This study aimed to assess the prevalence of unawareness of DSPN in prediabetes and diabetes in a sample of the older population of Augsburg, Germany. RESEARCH DESIGN AND METHODS: Glucose tolerance status was determined in 61- to 82-year-old participants of the population-based KORA F4 Study (2006–2008) (n = 1,100). Clinical DSPN was defined as the presence of bilaterally impaired foot-vibration perception and/or bilaterally impaired foot-pressure sensation. DSPN case subjects were considered unaware of their condition when answering “no” to the question, “Has a physician ever told you that you are suffering from nerve damage, neuropathy, polyneuropathy, or diabetic foot?” RESULTS: Clinical DSPN was prevalent in 154 (14%) participants, 140 of whom were unaware of their disorder. At a prevalence of 23.9% (95% CI 12.6–38.8), participants with combined impaired fasting glucose and impaired glucose tolerance had the highest prevalence of DSPN. Of these, 10 of 11 (91%) were unaware of having clinical DSPN. Participants with known diabetes had an equally high prevalence of DSPN [22.0% (16.2–28.9)], with 30 of the 39 (77%) DSPN case subjects unaware of having the disorder. Among subjects with known diabetes who reported to have had their feet examined by a physician, 18 of 25 (72%) clinical DSPN case subjects emerged unaware of having DSPN. CONCLUSIONS: Our findings showed a high prevalence of unawareness of having clinical DSPN among the prediabetic and diabetic groups and an insufficient frequency of professional foot examinations, suggesting inadequate attention to diabetic foot prevention practice. American Diabetes Association 2013-05 2013-04-13 /pmc/articles/PMC3631873/ /pubmed/23275355 http://dx.doi.org/10.2337/dc12-0744 Text en © 2013 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details.
spellingShingle Original Research
Bongaerts, Brenda W.C.
Rathmann, Wolfgang
Heier, Margit
Kowall, Bernd
Herder, Christian
Stöckl, Doris
Meisinger, Christa
Ziegler, Dan
Older Subjects With Diabetes and Prediabetes Are Frequently Unaware of Having Distal Sensorimotor Polyneuropathy: The KORA F4 Study
title Older Subjects With Diabetes and Prediabetes Are Frequently Unaware of Having Distal Sensorimotor Polyneuropathy: The KORA F4 Study
title_full Older Subjects With Diabetes and Prediabetes Are Frequently Unaware of Having Distal Sensorimotor Polyneuropathy: The KORA F4 Study
title_fullStr Older Subjects With Diabetes and Prediabetes Are Frequently Unaware of Having Distal Sensorimotor Polyneuropathy: The KORA F4 Study
title_full_unstemmed Older Subjects With Diabetes and Prediabetes Are Frequently Unaware of Having Distal Sensorimotor Polyneuropathy: The KORA F4 Study
title_short Older Subjects With Diabetes and Prediabetes Are Frequently Unaware of Having Distal Sensorimotor Polyneuropathy: The KORA F4 Study
title_sort older subjects with diabetes and prediabetes are frequently unaware of having distal sensorimotor polyneuropathy: the kora f4 study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3631873/
https://www.ncbi.nlm.nih.gov/pubmed/23275355
http://dx.doi.org/10.2337/dc12-0744
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