Use of graded Semmes Weinstein monofilament testing for ascertaining peripheral neuropathy in people with and without diabetes

To assess peripheral neuropathy (PN) using graded Semmes Weinstein monofilaments (SWMs) and determine factors associated with PN among adult volunteers with and without diabetes. Adult volunteers were assessed for distal sensory PN using three graded SWMs. Four PN levels were defined: 0 (no PN; felt...

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Bibliographic Details
Published in:Diabetes research and clinical practice 2019-05, Vol.151, p.1-10
Main Authors: Olaiya, Muideen T., Hanson, Robert L., Kavena, Karen G., Sinha, Madhumita, Clary, Dawn, Horton, Mark B., Nelson, Robert G., Knowler, William C.
Format: Article
Language:English
Subjects:
Adult
Diabetes
Diabetes Complications
Diabetic Neuropathies - diagnosis
Diabetic Neuropathies - pathology
Equipment Design - methods
Female
Healthy Volunteers
Humans
Male
Middle Aged
Peripheral neuropathy
Risk Factors
Semmes Weinstein monofilament test
Sensory Thresholds
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Summary:To assess peripheral neuropathy (PN) using graded Semmes Weinstein monofilaments (SWMs) and determine factors associated with PN among adult volunteers with and without diabetes. Adult volunteers were assessed for distal sensory PN using three graded SWMs. Four PN levels were defined: 0 (no PN; felt all three filaments), 1 (subclinical PN; insensate to 1-g filament), 2 (insensate to 10-g), or 3 (insensate to 75-g). Levels 2–3 were considered clinical PN. Associations with PN were determined using ordinal logistic regression. In 1564 subjects (median age 41.9 years, 50.1% women), PN was subclinical or worse in 68.9% and clinical in 11.2%. Age-sex-race-adjusted prevalence of clinical PN was greater in people with diabetes (15.3%) than without (6.1%; P 
ISSN:0168-8227
1872-8227
DOI:10.1016/j.diabres.2019.03.029