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Migraine and type 2 diabetes; is there any association?
Fatemeh Sadat Haghighi1, Masoud Rahmanian2, Nasim Namiranian1
1Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Background:
Migraine headache prevalence and triggers in type2 diabetes mellitus (T2DM) were investigated in previous studies but the results are contradictory. Therefore, in this study we examined the prevalence of migraine headache in diabetic patients in comparison with non-diabetic persons and its predisposing factors in 2014.
Methods:
We enrolled 147 volunteer patients with T2DM and 150 healthy persons referred to the Yazd Diabetes Research Center and the Central Laboratory of Yazd, respectively, in 2014. The data collection instrument was a self-conducted checklist. The checklist contained demographic, anthropometric and clinical characteristics and migraine diagnostic questions according to International Classification of Headache Disorders Second Edition (ICHD-II) criteria. We compared prevalence of migraine between two groups, and also evaluated relationship between above characteristics and migraine prevalence in both groups.
Results:
The prevalence of migraine in participants of diabetic and non-diabetic was 27.9 and 26 %, respectively (p-value = .406). The prevalence of migraine headache among in diabetic persons was significantly correlated with family history of migraine, diabetes duration and hypoglycemia attacks. Also, the migraine prevalence was significant more prevalent in T2DM patients with duration 6-10 years (p-value = 0.031). The percentage of HbA1C, type of anti-diabetic medication, BMI value and age in diabetic patients did not show any significant association with migraine.
Conclusion:
Although we observed no significant differences in prevalence of migraine between patients with T2DM and non-diabetic age and sex adjusted persons But, the occurrence of hypoglycemia attacks and T2DM duration were related to migraine prevalence. Decreasing hypoglycemia among long-time T2DM patients probably can decline migraine headache in this group of patients.
Insights
Migraine prevalence is similar in type 2 diabetes mellitus (T2DM) patients and non-diabetics. However, T2DM duration and hypoglycemia attacks are linked to migraine in diabetic individuals.
Area of Science:
- Neurology
- Endocrinology
- Epidemiology
Background:
- Previous studies on migraine triggers in type 2 diabetes mellitus (T2DM) yielded contradictory results.
- This study aimed to investigate migraine prevalence in T2DM patients compared to non-diabetics and identify predisposing factors.
Purpose of the Study:
- To compare migraine prevalence between T2DM patients and a non-diabetic control group.
- To identify factors associated with migraine in T2DM patients.
Main Methods:
- 147 T2DM patients and 150 healthy individuals were enrolled in 2014.
- Data collected via self-administered checklist including demographics, clinical characteristics, and ICHD-II migraine criteria.
- Prevalence compared between groups, and associations with characteristics evaluated.
Main Results:
- Migraine prevalence was 27.9% in T2DM patients and 26% in non-diabetics (p=0.406).
- In T2DM patients, migraine correlated with family history, diabetes duration (especially 6-10 years), and hypoglycemia.
- HbA1C, anti-diabetic medication, BMI, and age showed no significant association with migraine.
Conclusions:
- No significant difference in migraine prevalence between T2DM and non-diabetic groups after age/sex adjustment.
- Hypoglycemia attacks and T2DM duration are significant risk factors for migraine in T2DM patients.
- Reducing hypoglycemia in long-standing T2DM may decrease migraine incidence.
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