Medial plantar sensory response: Sensitive indicator of peripheral nerve dysfunction in patients with diabetes mellitus
The effects of near-normal glucose control on nerve conduction results were studied in 10 patients with insulin-dependent diabetes mellitus who underwent a six-month program of intensification of therapy. The most striking electrophysiologic abnormality was the medial plantar sensory nerve conductio...
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| Veröffentlicht in: | The American journal of medicine 1984-01, Vol.76 (5), p.842-846 |
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| container_end_page | 846 |
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| container_issue | 5 |
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| container_title | The American journal of medicine |
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| creator | Reeves, Michael L. Seigler, Deborah E. Ayyar, D.Ram Skyler, Jay S. |
| description | The effects of near-normal glucose control on nerve conduction results were studied in 10 patients with insulin-dependent diabetes mellitus who underwent a six-month program of intensification of therapy. The most striking electrophysiologic abnormality was the medial plantar sensory nerve conduction response. A sensory nerve action potential could not be elicited in seven of the 10 patients at the baseline evaluation. Over the six-month period of near-normal glucose control, there was a return of sensory nerve action potential in all 10 patients. Medial plantar sensory nerve conduction responses appear to be a sensitive and early electrophysiologic indicator of peripheral nerve dysfunction in patients with diabetes mellitus. Near-normalization of plasma glucose levels by intensification of diabetes management may be accompanied by correction of this early abnormality. |
| doi_str_mv | 10.1016/0002-9343(84)90995-1 |
| format | Article |
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The most striking electrophysiologic abnormality was the medial plantar sensory nerve conduction response. A sensory nerve action potential could not be elicited in seven of the 10 patients at the baseline evaluation. Over the six-month period of near-normal glucose control, there was a return of sensory nerve action potential in all 10 patients. Medial plantar sensory nerve conduction responses appear to be a sensitive and early electrophysiologic indicator of peripheral nerve dysfunction in patients with diabetes mellitus. Near-normalization of plasma glucose levels by intensification of diabetes management may be accompanied by correction of this early abnormality.</description><subject>Adult</subject><subject>Associated diseases and complications</subject><subject>Biological and medical sciences</subject><subject>Blood Glucose - analysis</subject><subject>Diabetes Mellitus, Type 1 - blood</subject><subject>Diabetes Mellitus, Type 1 - physiopathology</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabetic Neuropathies - physiopathology</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Evoked Potentials, Somatosensory</subject><subject>Female</subject><subject>Foot - innervation</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neural Conduction</subject><issn>0002-9343</issn><issn>1555-7162</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kUtrFTEYhoMo9bT6DxSyENHFaL7JXDIuBCn1AhUX6jrk8oVG5mTGfJmW8-_NsYeuQvI-uT0vYy9AvAMBw3shRNtMspNvVPd2EtPUN_CI7aDv-2aEoX3Mdg_IU3ZO9KdOxdQPZ-xsGFsxSrFjd9_RRzPzdTapmMwJEy35wDPSuiTCD_xnXYkl3iKPyUdnypL5EviKOa43mOvehLmm_kBhS67EJVWSr6ZETIX4XSw3vN5hsSDxPc5zLBs9Y0-CmQmfn8YL9vvz1a_Lr831jy_fLj9dN9hOojSjtVZi6KSUACJI21tsvZdmtG0H0ppBWmmVQkCnerAiWO9gUqMPxkII8oK9vj93zcvfDanofSRXH2ESLhtpBaL6GkQFX57Aze7R6zXHvckHfTJV81en3JAzc8gmuUgPWPWv1AAV-3iPYf3UbcSsyVUPrlrO6Ir2S9Qg9LFAfWxHH9vRqtP_C9Qg_wH78I_D</recordid><startdate>19840101</startdate><enddate>19840101</enddate><creator>Reeves, Michael L.</creator><creator>Seigler, Deborah E.</creator><creator>Ayyar, D.Ram</creator><creator>Skyler, Jay S.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19840101</creationdate><title>Medial plantar sensory response: Sensitive indicator of peripheral nerve dysfunction in patients with diabetes mellitus</title><author>Reeves, Michael L. ; Seigler, Deborah E. ; Ayyar, D.Ram ; Skyler, Jay S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e290t-7bbb3ef4333110f3b5be2dd3a7b2413ba63b3b88e1ec851b0fbdc1987dfab1ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Adult</topic><topic>Associated diseases and complications</topic><topic>Biological and medical sciences</topic><topic>Blood Glucose - analysis</topic><topic>Diabetes Mellitus, Type 1 - blood</topic><topic>Diabetes Mellitus, Type 1 - physiopathology</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Diabetic Neuropathies - physiopathology</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Evoked Potentials, Somatosensory</topic><topic>Female</topic><topic>Foot - innervation</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neural Conduction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reeves, Michael L.</creatorcontrib><creatorcontrib>Seigler, Deborah E.</creatorcontrib><creatorcontrib>Ayyar, D.Ram</creatorcontrib><creatorcontrib>Skyler, Jay S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reeves, Michael L.</au><au>Seigler, Deborah E.</au><au>Ayyar, D.Ram</au><au>Skyler, Jay S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Medial plantar sensory response: Sensitive indicator of peripheral nerve dysfunction in patients with diabetes mellitus</atitle><jtitle>The American journal of medicine</jtitle><addtitle>Am J Med</addtitle><date>1984-01-01</date><risdate>1984</risdate><volume>76</volume><issue>5</issue><spage>842</spage><epage>846</epage><pages>842-846</pages><issn>0002-9343</issn><eissn>1555-7162</eissn><coden>AJMEAZ</coden><abstract>The effects of near-normal glucose control on nerve conduction results were studied in 10 patients with insulin-dependent diabetes mellitus who underwent a six-month program of intensification of therapy. The most striking electrophysiologic abnormality was the medial plantar sensory nerve conduction response. A sensory nerve action potential could not be elicited in seven of the 10 patients at the baseline evaluation. Over the six-month period of near-normal glucose control, there was a return of sensory nerve action potential in all 10 patients. Medial plantar sensory nerve conduction responses appear to be a sensitive and early electrophysiologic indicator of peripheral nerve dysfunction in patients with diabetes mellitus. Near-normalization of plasma glucose levels by intensification of diabetes management may be accompanied by correction of this early abnormality.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>6720730</pmid><doi>10.1016/0002-9343(84)90995-1</doi><tpages>5</tpages></addata></record> |
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| ispartof | The American journal of medicine, 1984-01, Vol.76 (5), p.842-846 |
| issn | 0002-9343 1555-7162 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Associated diseases and complications Biological and medical sciences Blood Glucose - analysis Diabetes Mellitus, Type 1 - blood Diabetes Mellitus, Type 1 - physiopathology Diabetes. Impaired glucose tolerance Diabetic Neuropathies - physiopathology Endocrine pancreas. Apud cells (diseases) Endocrinopathies Evoked Potentials, Somatosensory Female Foot - innervation Humans Male Medical sciences Neural Conduction |
| title | Medial plantar sensory response: Sensitive indicator of peripheral nerve dysfunction in patients with diabetes mellitus |
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