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Postural stability in non-insulin dependent diabetics

C Y Hong1, S E Chia, S L Ling

  • 1Department of Community, Occupational and Family Medicine, National University of Singapore.

Annals of the Academy of Medicine, Singapore
|April 2, 1998
PubMed
Summary

Non-insulin dependent diabetics exhibit poorer postural stability compared to controls. Factors like age, weight, and neuropathy significantly impact diabetic balance.

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Area of Science:

  • Biomedical Engineering
  • Clinical Medicine
  • Diabetology

Background:

  • Postural stability is crucial for daily activities and fall prevention.
  • Non-insulin dependent diabetes mellitus (NIDDM) is associated with various complications affecting sensorimotor function.
  • Impaired balance in diabetic individuals can increase fall risk.

Purpose of the Study:

  • To compare postural stability between non-insulin dependent diabetics and age/gender-matched non-diabetic controls.
  • To identify factors associated with reduced postural stability in NIDDM patients.

Main Methods:

  • Utilized a computerized postural sway system with a force platform to record center of pressure changes.
  • Collected clinical data through interviews, physical examinations, and medical records.
  • Analyzed sway parameters (sway path length, speed, area) adjusting for confounding factors.

Main Results:

  • Non-insulin dependent diabetics demonstrated significantly poorer postural stability across four key parameters (sway path length, speed, area).
  • Factors such as older age, higher weight, peripheral neuropathy, cataracts, metformin use, and HbA1c > 9% were linked to instability in diabetics.
  • Postural sway was assessed using parameters like length of sway path (L), average speed (Vel), area (Ao), and elliptical area (Ae).

Conclusions:

  • Non-insulin dependent diabetics exhibit impaired postural stability compared to healthy individuals.
  • Multiple factors beyond diabetic neuropathy contribute to balance deficits in NIDDM.
  • Further research is needed to explore additional factors influencing postural control in diabetic populations.

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