Hand abnormalities are strongly associated with the duration of diabetes mellitus

Gamstedt, Anders; Holm-Glad, J.; Ohlson, Carl‐Göran; Sundström, Magnus

doi:10.1111/j.1365-2796.1993.tb00729.x

Cited by 119 publications

(101 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A significant observation from both surveys was that LJM was strongly associated with duration of diabetes. Consequently, some of the variation in prevalence across the two decades may have been accounted for by differences in duration of disease (23). This finding reflects our strong desire to avoid selection bias during the most recent survey by assessing representative consecutive patients attending our joint clinics.…”

Section: Statistical Analysesmentioning

confidence: 81%

Reduced Prevalence of Limited Joint Mobility in Type 1 Diabetes in a U.K. Clinic Population Over a 20-Year Period

et al. 2005

View full text Add to dashboard Cite

OBJECTIVE -Limited joint mobility (LJM), one of the earliest clinically apparent long-term complications of type 1 diabetes, is a risk marker for subsequent microvascular complications. We hypothesize that the prevalence of LJM may have decreased during the past two decades due to improved standards of glycemic control. RESEARCH DESIGN AND METHODS -A single observer performed a survey in 204consecutive patients with type 1 diabetes (106 men and 98 women, age 27 Ϯ 1 years, HbA 1c 8.3 Ϯ 0.1%, duration of diabetes 14.5 Ϯ 0.8 years, insulin dose 63 Ϯ 2 units/day). We used the same examination method and criteria for assessment of LJM as used by us in an earlier study in [1981][1982]. CONCLUSIONS -The present study confirms the hypothesis that the prevalence of LJM is lower than 20 years ago and that improved standards of glycemic control and diabetes care may have contributed to this occurrence. Joint limitation in type 1 diabetes is strongly associated with duration of diabetes. The presence of LJM remains a common and important clinical marker for subsequent microvascular disease and can be a useful clinical tool for identification of patients at increased risk. RESULTS Diabetes Care 28:658 -661, 2005L imited joint mobility (LJM), one of the earliest and most common clinical complications in type 1 diabetes, was first described by Rosenbloom in 1974 (1,2). LJM is characterized by stiffness and thickening of the periarticular connective tissue, beginning in the hand at the fifth interphalangeal joints and extending radially. It is useful to recognize this complication of type 1 diabetes because of its association with the development of microvascular complications (3).The prevalence of LJM in type 1 diabetes quoted in several studies of pediatric and adult diabetes clinics ranges from 9 to 58% (3-5). This variability depends largely upon the population studied and the way in which joint mobility is measured (6). In a previous survey of our clinic population in Belfast published in the 1980s, the prevalence of LJM was 43% (7). Many of the LJM studies were conducted before the introduction of current standards for intensive diabetes care (8). A recent survey of pediatric patients with type 1 diabetes attending diabetic camps in Florida demonstrated a reduced prevalence of LJM between 1976 and 1998 (9). This change was attributed to more intensive glucose control during the past two decades, since there is some evidence that long-term glycemic control influences the onset of this condition (9,10).The current study was designed to compare the frequency of LJM in our own U.K. clinic population across two decades. We performed a survey of patients with type 1 diabetes attending our clinics in 2002 and compared this to observations made in the same clinic in 1981-1982 (7,11). We hypothesized that the prevalence of LJM would be less in 2002, in line with improved standards for glycemic control in the intervening years.RESEARCH DESIGN AND METHODS -Patients were prospectively recruited from the diabetes clinics of the Royal...

show abstract

Section: Statistical Analysesmentioning

confidence: 81%

Reduced Prevalence of Limited Joint Mobility in Type 1 Diabetes in a U.K. Clinic Population Over a 20-Year Period

et al. 2005

View full text Add to dashboard Cite

show abstract

“…31 Its prevalence is 20% in diabetics and 75% in those with LJM. 32 It is more common in females than males. It has close association with age and duration of diabetes.…”

Section: Carpal Tunnel Syndrome (Cts)mentioning

confidence: 99%

Rheumatological Manifestations of Diabetes Mellitus ─ An Update

et al. 2018

View full text Add to dashboard Cite

show abstract

“…8 Dupuytren's contracture occurs in more than l/3rd of the patients with diabetes, especially those with longstanding poorly controlled diabetes. 28 Prevalence of Dupuytren's contracture in diabetic patients ranges from 20-63% compared to 13% in the general population. 29 …”

Section: Dupuytren's Diseasementioning

confidence: 99%

A Clinical Study of Rheumatological Manifestations in Patients With Type 2 Diabetes Mellitus

Venkataravanappa¹,

Huchappa²

2015

jemds

View full text Add to dashboard Cite

OBJECTIVESType 2 diabetes mellitus is associated with various rheumatological manifestations that are debilitating and affect the quality of life. The present study is about prevalence of rheumatological manifestations in type 2 diabetics. METHODSThe current study is a cross sectional study with 100 patients of type 2 diabetics and 50 patients of age and sex matched non diabetics were examined for rheumatological manifestations during the period July 2008 to July 2010. The Rheumatological manifestations are documented and prevalence rates were calculated in percent of total cases in each group using Fisher's exact test and Chi-square test. RESULTSRheumatological manifestations were seen in 31% patients with type 2 diabetes mellitus compared to 16% in non-diabetics. Periarthritis of shoulder was seen in 18% diabetics compared to 4% in non-diabetics and was statistically significant. Diffuse idiopathic skeletal hyperostosis was observed in 3% of diabetics. Osteoarthritis of knee was noted in 8% of diabetics compared to 10% of non-diabetics. Carpal tunnel syndrome was seen in 3% of diabetics and 2% non-diabetics. The manifestations were more predominant in females 43.6% as compared to males 23%. CONCLUSIONRheumatological manifestations are more prevalent in type 2 diabetics than non-diabetics especially periarthritis of shoulder.

show abstract

Hand abnormalities are strongly associated with the duration of diabetes mellitus

Abstract: The prevalence of hand abnormalities in diabetic patients is high and increases with the duration of diabetes. In many cases patients with hand abnormalities can be helped by surgery.

Cited by 119 publications

References 24 publications

Reduced Prevalence of Limited Joint Mobility in Type 1 Diabetes in a U.K. Clinic Population Over a 20-Year Period

Reduced Prevalence of Limited Joint Mobility in Type 1 Diabetes in a U.K. Clinic Population Over a 20-Year Period

Rheumatological Manifestations of Diabetes Mellitus ─ An Update

A Clinical Study of Rheumatological Manifestations in Patients With Type 2 Diabetes Mellitus

Contact Info

Product

Resources

About