Evaluative procedures to detect, characterize, and assess the severity of diabetic neuropathy

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Minimal criteria for diabetic neuropathy need to be defined and universally applied. Standardized evaluative procedures need to be agreed and normal ranges determined from healthy volunteers. Types and stages of neuropathy shoule be established and assessments performed on representative populations of both Type 1 and Type 2 diabetic patients. Potential minimal criteria include absent ankle reflexes and vibratory sensation, and abnormalities of nerve conduction. However, the preferred criterion is the identification of more than two statistically defined abnormalities among symptoms and deficits, nerve conduction, quantitative sensory examination or quantitative autonomic examination. Various evaluative procedures aree available. Symptoms shold be assessed and scores can be assigned to neurological deficits. However, assessments of nerve conduction provide the most specific, objective, sensitive, and repeatable procedures, although these may be the least meaningful. Many techniques are available for quantitative sensory examination, but are poorly standardized and normal values are not available. For quantitative autonomic examination, tests are available for the adequacy of cardiovascular and peripheral vascular reflexes and increasingly for other autonomic functions. In any assessment of nerve function the conditions should be optimized and standardized, and stimuli defined. Specific instructions should be given and normal ranges established in healthy volunteers.

Original languageEnglish (US)
JournalDiabetic Medicine
Volume8
Issue numberSYMP.
StatePublished - 1991

Fingerprint

Diabetic Neuropathies
Neural Conduction
Reference Values
Healthy Volunteers
Abnormal Reflexes
Blood Vessels
Reflex
Population

Keywords

  • Diabetic neuropathy
  • Diagnostic criteria
  • Stating

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine

Cite this

Evaluative procedures to detect, characterize, and assess the severity of diabetic neuropathy. / Dyck, Peter J.

In: Diabetic Medicine, Vol. 8, No. SYMP., 1991.

Research output: Contribution to journalArticle

@article{4ea3117466154ef6952ac28506529d0c,
title = "Evaluative procedures to detect, characterize, and assess the severity of diabetic neuropathy",
abstract = "Minimal criteria for diabetic neuropathy need to be defined and universally applied. Standardized evaluative procedures need to be agreed and normal ranges determined from healthy volunteers. Types and stages of neuropathy shoule be established and assessments performed on representative populations of both Type 1 and Type 2 diabetic patients. Potential minimal criteria include absent ankle reflexes and vibratory sensation, and abnormalities of nerve conduction. However, the preferred criterion is the identification of more than two statistically defined abnormalities among symptoms and deficits, nerve conduction, quantitative sensory examination or quantitative autonomic examination. Various evaluative procedures aree available. Symptoms shold be assessed and scores can be assigned to neurological deficits. However, assessments of nerve conduction provide the most specific, objective, sensitive, and repeatable procedures, although these may be the least meaningful. Many techniques are available for quantitative sensory examination, but are poorly standardized and normal values are not available. For quantitative autonomic examination, tests are available for the adequacy of cardiovascular and peripheral vascular reflexes and increasingly for other autonomic functions. In any assessment of nerve function the conditions should be optimized and standardized, and stimuli defined. Specific instructions should be given and normal ranges established in healthy volunteers.",
keywords = "Diabetic neuropathy, Diagnostic criteria, Stating",
author = "Dyck, {Peter J}",
year = "1991",
language = "English (US)",
volume = "8",
journal = "Diabetic Medicine",
issn = "0742-3071",
publisher = "Wiley-Blackwell",
number = "SYMP.",

}

TY - JOUR

T1 - Evaluative procedures to detect, characterize, and assess the severity of diabetic neuropathy

AU - Dyck, Peter J

PY - 1991

Y1 - 1991

N2 - Minimal criteria for diabetic neuropathy need to be defined and universally applied. Standardized evaluative procedures need to be agreed and normal ranges determined from healthy volunteers. Types and stages of neuropathy shoule be established and assessments performed on representative populations of both Type 1 and Type 2 diabetic patients. Potential minimal criteria include absent ankle reflexes and vibratory sensation, and abnormalities of nerve conduction. However, the preferred criterion is the identification of more than two statistically defined abnormalities among symptoms and deficits, nerve conduction, quantitative sensory examination or quantitative autonomic examination. Various evaluative procedures aree available. Symptoms shold be assessed and scores can be assigned to neurological deficits. However, assessments of nerve conduction provide the most specific, objective, sensitive, and repeatable procedures, although these may be the least meaningful. Many techniques are available for quantitative sensory examination, but are poorly standardized and normal values are not available. For quantitative autonomic examination, tests are available for the adequacy of cardiovascular and peripheral vascular reflexes and increasingly for other autonomic functions. In any assessment of nerve function the conditions should be optimized and standardized, and stimuli defined. Specific instructions should be given and normal ranges established in healthy volunteers.

AB - Minimal criteria for diabetic neuropathy need to be defined and universally applied. Standardized evaluative procedures need to be agreed and normal ranges determined from healthy volunteers. Types and stages of neuropathy shoule be established and assessments performed on representative populations of both Type 1 and Type 2 diabetic patients. Potential minimal criteria include absent ankle reflexes and vibratory sensation, and abnormalities of nerve conduction. However, the preferred criterion is the identification of more than two statistically defined abnormalities among symptoms and deficits, nerve conduction, quantitative sensory examination or quantitative autonomic examination. Various evaluative procedures aree available. Symptoms shold be assessed and scores can be assigned to neurological deficits. However, assessments of nerve conduction provide the most specific, objective, sensitive, and repeatable procedures, although these may be the least meaningful. Many techniques are available for quantitative sensory examination, but are poorly standardized and normal values are not available. For quantitative autonomic examination, tests are available for the adequacy of cardiovascular and peripheral vascular reflexes and increasingly for other autonomic functions. In any assessment of nerve function the conditions should be optimized and standardized, and stimuli defined. Specific instructions should be given and normal ranges established in healthy volunteers.

KW - Diabetic neuropathy

KW - Diagnostic criteria

KW - Stating

UR - http://www.scopus.com/inward/record.url?scp=0026100637&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026100637&partnerID=8YFLogxK

M3 - Article

C2 - 1825958

AN - SCOPUS:0026100637

VL - 8

JO - Diabetic Medicine

JF - Diabetic Medicine

SN - 0742-3071

IS - SYMP.

ER -