Does impaired glucose metabolism cause polyneuropathy? Review of previous studies and design of a prospective controlled population-based study

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Abstract

In spite of extensive studies it is unclear whether impaired fasting glucose (IFG) or impaired glucose tolerance (IGT), i.e., impaired glucose metabolism (IGM), causes diabetic sensorimotor polyneuropathy (DSPN) or chronic idiopathic axonal polyneuropathy (CIAP); the results and conclusions vary considerably in different studies. Some studies suggest that IGM is a common and important cause of CIAP, whereas others do not. On reviewing these data, we judge that a considerable degree of this disparity may relate to differences in selection of patients, choice of controls, assessment of chronic glycemic exposure and of diabetic complications, and statistical power. Here we review previous studies, list the reasons that the issue needs further study, and outline a study now in progress to address the question more definitively.

Original languageEnglish (US)
Pages (from-to)536-541
Number of pages6
JournalMuscle and Nerve
Volume36
Issue number4
DOIs
StatePublished - Oct 2007

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Polyneuropathies
Glucose
Population
Glucose Intolerance
Diabetic Neuropathies
Diabetes Complications
Patient Selection
Fasting

Keywords

  • Impaired fasting glucose
  • Impaired glucose tolerance
  • Nephropathy
  • Polyneuropathy
  • Retinopathy

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

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title = "Does impaired glucose metabolism cause polyneuropathy? Review of previous studies and design of a prospective controlled population-based study",
abstract = "In spite of extensive studies it is unclear whether impaired fasting glucose (IFG) or impaired glucose tolerance (IGT), i.e., impaired glucose metabolism (IGM), causes diabetic sensorimotor polyneuropathy (DSPN) or chronic idiopathic axonal polyneuropathy (CIAP); the results and conclusions vary considerably in different studies. Some studies suggest that IGM is a common and important cause of CIAP, whereas others do not. On reviewing these data, we judge that a considerable degree of this disparity may relate to differences in selection of patients, choice of controls, assessment of chronic glycemic exposure and of diabetic complications, and statistical power. Here we review previous studies, list the reasons that the issue needs further study, and outline a study now in progress to address the question more definitively.",
keywords = "Impaired fasting glucose, Impaired glucose tolerance, Nephropathy, Polyneuropathy, Retinopathy",
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