The acute effects of glycemic control on nerve conduction in human diabetics

To investigate acute changes in nerve conduction associated with glycemic control. In diabetes, nerve dysfunction can result from reversible metabolic factors associated with hyperglycemia, as well as structural changes. Multiple nerve conduction parameters including F-wave latencies were measured i...

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Bibliographic Details
Published in:Clinical neurophysiology 2005-02, Vol.116 (2), p.270-274
Main Authors: Kikkawa, Yuriko, Kuwabara, Satoshi, Misawa, Sonoko, Tamura, Noriko, Kitano, Yukiko, Ogawara, Kazue, Hattori, Takamichi
Format: Article
Language:English
Subjects:
Action Potentials
Adult
Aged
Biological and medical sciences
Blood Glucose - metabolism
Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - physiopathology
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - physiopathology
Diabetic neuropathy
Electrodiagnosis. Electric activity recording
Electromyography
Evoked Potentials
F-wave
Female
Fundamental and applied biological sciences. Psychology
Glycated Hemoglobin A - metabolism
Glycemic control
Humans
Hyperglycemia - drug therapy
Hypoglycemic Agents - therapeutic use
Insulin - therapeutic use
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Nerve conduction study
Nervous system
Nervous system (semeiology, syndromes)
Neural Conduction
Neurology
Reaction Time
Somesthesis and somesthetic pathways (proprioception, exteroception, nociception)
interoception
electrolocation. Sensory receptors
Sural Nerve - physiopathology
Tibial Nerve - physiopathology
Vertebrates: nervous system and sense organs
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Summary:To investigate acute changes in nerve conduction associated with glycemic control. In diabetes, nerve dysfunction can result from reversible metabolic factors associated with hyperglycemia, as well as structural changes. Multiple nerve conduction parameters including F-wave latencies were measured in 47 diabetic patients with prominent hyperglycemia before and after intensive insulin treatment. Four weeks after the start of treatment, there was a significant improvement in minimal F-wave latencies of the median ( P
ISSN:1388-2457
1872-8952
DOI:10.1016/j.clinph.2004.08.011