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Published on: February 21, 2020
Sex-based differences and aging in tactile function loss in persons with type 2 diabetes
Stacey L Gorniak1, Nereyda Ochoa1, Lauren I Gulley Cox1
1Department of Health and Human Performance, University of Houston, Houston, TX, United States of America.
Type 2 Diabetes Mellitus (DM) significantly impacts tactile sensation, especially in older males with poor metabolic control and neuropathy. These findings highlight key factors for managing DM complications.
Area of Science:
- Neurology
- Endocrinology
- Gerontology
Background:
- Sex-based differences in Type 2 Diabetes Mellitus (DM) presentation and complications affect functionality and quality of life.
- Tactile function of the hands is crucial for daily activities and overall quality of life.
Purpose of the Study:
- To investigate the impact of DM and sex on tactile hand sensation.
- To consider health state measures in relation to tactile function in DM.
Main Methods:
- A case-control observational study involving 132 adults (70 with DM, 62 controls).
- Evaluated tactile sensation using the Semmes-Weinstein monofilament test.
- Data collected from 2012-2020 in a diverse community setting.
Main Results:
- Tactile sensation was negatively affected by male sex, age, handedness, high A1c, DM diagnosis, and neuropathy.
- Older, strongly right-handed males with poorly controlled DM and neuropathy had the worst tactile discrimination.
- In secondary analysis including minority status, DM diagnosis was not significant, but age, neuropathy, handedness, and A1c remained impactful.
Conclusions:
- Male sex, age, handedness, minority status, and metabolic health significantly influence tactile sensation.
- These modifiable and non-modifiable factors are critical for monitoring and treating DM complications.
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