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[Distal sensorimotor polyneuropathy in type-2 diabetes]

L García Lozano1, M J Matas Sánchez, M A Moreno García

  • 1Centro de Salud de Carrenque, Málaga.

Atencion Primaria
|June 30, 1994
PubMed
Summary

Diabetic polyneuropathy symptoms can be linked to reflex and sensation tests. Loss of Achilles reflex and vibrative anesthesia indicate motor-sensitive diabetic polyneuropathy, with anesthesia also related to age.

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Area of Science:

  • Neurology
  • Diabetology
  • Clinical Medicine

Background:

  • Diabetic polyneuropathy is a common complication of diabetes mellitus.
  • Motor-sensitive diabetic polyneuropathy affects nerve function and can lead to various symptoms.

Purpose of the Study:

  • To correlate symptoms of motor-sensitive diabetic polyneuropathy with osteo-tendinous reflex and vibrative sensibility findings.
  • To identify reliable indicators for diagnosing motor-sensitive diabetic polyneuropathy.

Main Methods:

  • Prospective, crossover observational study.
  • Involved 120 patients with type II Diabetes aged over 40.
  • Assessed osteo-tendinous reflexes and vibrative sensibility.

Main Results:

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  • Prevalence of paraesthesia (33.3%), muscular spasms (34.1%), and pain (25.8%).
  • Absence of Achilles reflex in 54.1% and vibrative anesthesia in 45.8% of patients.
  • Absence of Achilles reflex associated with nocturnal spasms (p=0.04) and vibrative anesthesia (p=0.001). Vibrative anesthesia prevalence increased with age (p=0.0003).

Conclusions:

  • Absence of Achilles reflex and vibrative anesthesia are significant indicators of motor-sensitive diabetic polyneuropathy.
  • Vibrative anesthesia is also influenced by patient age, suggesting multifactorial involvement.