Ankle-brachial index and diabetic neuropathy: study of 225 patients

ABSTRACT Objective To evaluate neuropathic pain and peripheral vascular disease in diabetics and compare this with the length of time since diagnosis in type 1, and type 2 diabetes. Methods A cross-sectional study with 225 diabetics chosen from their responses on the DN4 questionnaire, who were then evaluated with the ankle-brachial index (ABI), separating type 1 diabetes from type 2 diabetes. Results A higher incidence of neuropathic pain in those over 60 years of age showed an ABI > 1.3. Neuropathic pain was related to an abnormal ABI in 144 patients (64.2%). A statistically significant value was obtained in type 2 diabetes patients with more than 10 years from disease onset, 69 with altered ABI and 25 with normal ABI. There was an altered ABI (< 0.9) observed in 33% of type 1 diabetes patients and in 67% of type 2 diabetes patients. Conclusion The ABI test in type 1 diabetes and type 2 diabetes patients is important even in those who are asymptomatic. A diagnosis of more than 10 years prior, regardless of the presence of neuropathic pain or ischemic signs, altered the ABI.

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Risk of cardiac autonomic neuropathy in latent autoimmune diabetes in adults is similar to type 1 diabetes and lower compared to type 2 diabetes: A cross‐sectional study

Diabetic Medicine ◽

10.1111/dme.14455 ◽

2020 ◽

Author(s):

Ernesto Maddaloni ◽

Chiara Moretti ◽

Rossella Del Toro ◽

Sara Sterpetti ◽

Maria Vittoria Ievolella ◽

...

Keyword(s):

Type 2 Diabetes ◽

Type 1 Diabetes ◽

Autoimmune Diabetes ◽

Cross Sectional Study ◽

Cardiac Autonomic Neuropathy ◽

Sectional Study ◽

Cross Sectional ◽

Latent Autoimmune Diabetes

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Influence of a family history of type 2 diabetes, demographic and clinical data on carotid intima-media thickness in patients with type 1 diabetes: a cross-sectional study

Cardiovascular Diabetology ◽

10.1186/1475-2840-13-87 ◽

2014 ◽

Vol 13 (1) ◽

Cited By ~ 8

Author(s):

Carlos Roberto Moraes de Andrade ◽

Eliete Leão Clemente Silva ◽

Maria de Fátima Bevilaqua da Matta ◽

Marcia Bueno Castier ◽

Maria Luiza Garcia Rosa ◽

...

Keyword(s):

Type 2 Diabetes ◽

Type 1 Diabetes ◽

Intima Media Thickness ◽

Carotid Intima Media Thickness ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

History Of

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Assessment of Ramadan Education and Knowledge Among Diabetic Patients

Clinical Medicine Insights Endocrinology and Diabetes ◽

10.1177/1179551417751611 ◽

2018 ◽

Vol 11 ◽

pp. 117955141775161 ◽

Cited By ~ 7

Author(s):

Mussa Hussain Almalki ◽

Ibtihal Hussen ◽

Shawana A. Khan ◽

Abdulrahman Almaghamsi ◽

Fahad Alshahrani

Keyword(s):

Type 2 Diabetes ◽

Type 1 Diabetes ◽

Health Care Providers ◽

Diabetes Management ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Care Providers ◽

Cross Sectional

Background: During Ramadan, Muslims fast from dawn until dusk for one lunar month every year. Most of the Muslim patients with diabetes are unaware of the potential complications that can occur while fasting, such as hypoglycemia. The aim of this study is to assess the the patient education level and patients’ overall awareness of any possible complications that could occur while fasting during Ramadan and to determine how these patients deal with these complications. Methods: We conducted a cross-sectional study and surveyed diabetic patients about their diabetes-related knowledge over a period of 4 months from the outpatient clinic at the Obesity, Endocrine, and Metabolism Center at King Fahad Medical City. Patients were included if they were ≥16 years and if they had been receiving treatment for at least 1 year before the study, irrespective of the medications used; patients were also asked about the presence or absence of complications. Results: This study included 477 patients (325 women and 152 men). Most patients (297; 62.3%) had type 2 diabetes. The patients’ mean age was 39.72 ± 15.29 years, and the mean duration of diabetes was 10.80 ± 5.88 years. During the preceding Ramadan, 76% of patients reported fasting, whereas 58% said that they monitored their blood glucose levels once per day. Hypoglycemic episodes were reported in 60.3% of cases with type 2 diabetes and in 8.3% of cases with type 1 diabetes. Among those who had hypoglycemia, 2.8% of patients with type 1 diabetes and 17.8% with type 2 diabetes broke their fast. Finally, 54% of patients reported that their health care providers offered them instructions on diabetes management during Ramadan. Conclusions: Ramadan health education in diabetes can encourage, improve, and guide patients to change their lifestyles during Ramadan while minimizing the risk of acute complications.

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