Association of Diabetic Polyneuropathy and Carpal Tunnel Syndrome: Role of Glycemic Control and Microvascular Complications
Introduction: Carpal tunnel syndrome (CTS) is more common in diabetes mellitus (DM), especially in individuals with diabetic polyneuropathy (DPN). This study aimed to retrospectively investigate the effects of elevated glycosylated hemoglobin (HbA1c) levels, duration of diabetes, and other microvasc...
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| Format: | Article |
| Language: | English |
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Sakarya University
2023-09-01
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| Series: | Sakarya Tıp Dergisi |
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| Online Access: | https://dergipark.org.tr/tr/download/article-file/3283016 |
| _version_ | 1797350461733339136 |
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| author | Şule Deveci |
| author_facet | Şule Deveci |
| author_sort | Şule Deveci |
| collection | DOAJ |
| description | Introduction: Carpal tunnel syndrome (CTS) is more common in diabetes mellitus (DM), especially in individuals with diabetic polyneuropathy (DPN). This study aimed to retrospectively investigate the effects of elevated glycosylated hemoglobin (HbA1c) levels, duration of diabetes, and other microvascular complications of DM on the frequency and severity of CTS in patients with DPN.
Material and methods: 124 DPN patients were included in the study. In these patients, fasting blood glucose (FBG) and HbA1c levels, duration of DM, antidiabetic drugs used, comorbidities, and other complications of diabetes were questioned. According to the results of the electrophysiological examination, the patients were divided into 2 groups: those with only DPN and those with DPN + CTS.
Results: When diabetes complications were investigated, diabetic nephropathy was found only in those with DPN + CTS (p=0.045). Electrophysiologically, in sensory fibers in all patients, In 43 patients (34.7%), involvement of motor fibers was accompanied. A positive correlation was found between the severity of CTS and duration of diabetes, FBG and HbA1c levels, and subcutaneous insulin use (p=0.018, p=0.014, p=0.003, p=0.029, respectively).
Conclusion: Good glycemic control can reduce the risk of developing CTS with microvascular complications of diabetes. Therefore, it is important for patients to protect their hand function and prevent the development of CTS by being informed about the complications of diabetes. |
| first_indexed | 2024-03-08T12:45:13Z |
| format | Article |
| id | doaj.art-42ea0fb65ce44d5cb879399ef583ee17 |
| institution | Directory Open Access Journal |
| issn | 2146-409X |
| language | English |
| last_indexed | 2024-03-08T12:45:13Z |
| publishDate | 2023-09-01 |
| publisher | Sakarya University |
| record_format | Article |
| series | Sakarya Tıp Dergisi |
| spelling | doaj.art-42ea0fb65ce44d5cb879399ef583ee172024-01-21T07:40:06ZengSakarya UniversitySakarya Tıp Dergisi2146-409X2023-09-0113344044510.31832/smj.133181528Association of Diabetic Polyneuropathy and Carpal Tunnel Syndrome: Role of Glycemic Control and Microvascular ComplicationsŞule Deveci0Sağlık Bakanlığı İstanbul Başakşehir Çam ve Sakura Şehir HastanesiIntroduction: Carpal tunnel syndrome (CTS) is more common in diabetes mellitus (DM), especially in individuals with diabetic polyneuropathy (DPN). This study aimed to retrospectively investigate the effects of elevated glycosylated hemoglobin (HbA1c) levels, duration of diabetes, and other microvascular complications of DM on the frequency and severity of CTS in patients with DPN. Material and methods: 124 DPN patients were included in the study. In these patients, fasting blood glucose (FBG) and HbA1c levels, duration of DM, antidiabetic drugs used, comorbidities, and other complications of diabetes were questioned. According to the results of the electrophysiological examination, the patients were divided into 2 groups: those with only DPN and those with DPN + CTS. Results: When diabetes complications were investigated, diabetic nephropathy was found only in those with DPN + CTS (p=0.045). Electrophysiologically, in sensory fibers in all patients, In 43 patients (34.7%), involvement of motor fibers was accompanied. A positive correlation was found between the severity of CTS and duration of diabetes, FBG and HbA1c levels, and subcutaneous insulin use (p=0.018, p=0.014, p=0.003, p=0.029, respectively). Conclusion: Good glycemic control can reduce the risk of developing CTS with microvascular complications of diabetes. Therefore, it is important for patients to protect their hand function and prevent the development of CTS by being informed about the complications of diabetes.https://dergipark.org.tr/tr/download/article-file/3283016carpal tunnel syndromediabetic polyneuropathyhba1cmicrovascular complicationsglycemic controlkarpal tünel sendromudiyabetik polinöropatihba1cmikrovasküler komplikasyonlarglisemik kontrol |
| spellingShingle | Şule Deveci Association of Diabetic Polyneuropathy and Carpal Tunnel Syndrome: Role of Glycemic Control and Microvascular Complications Sakarya Tıp Dergisi carpal tunnel syndrome diabetic polyneuropathy hba1c microvascular complications glycemic control karpal tünel sendromu diyabetik polinöropati hba1c mikrovasküler komplikasyonlar glisemik kontrol |
| title | Association of Diabetic Polyneuropathy and Carpal Tunnel Syndrome: Role of Glycemic Control and Microvascular Complications |
| title_full | Association of Diabetic Polyneuropathy and Carpal Tunnel Syndrome: Role of Glycemic Control and Microvascular Complications |
| title_fullStr | Association of Diabetic Polyneuropathy and Carpal Tunnel Syndrome: Role of Glycemic Control and Microvascular Complications |
| title_full_unstemmed | Association of Diabetic Polyneuropathy and Carpal Tunnel Syndrome: Role of Glycemic Control and Microvascular Complications |
| title_short | Association of Diabetic Polyneuropathy and Carpal Tunnel Syndrome: Role of Glycemic Control and Microvascular Complications |
| title_sort | association of diabetic polyneuropathy and carpal tunnel syndrome role of glycemic control and microvascular complications |
| topic | carpal tunnel syndrome diabetic polyneuropathy hba1c microvascular complications glycemic control karpal tünel sendromu diyabetik polinöropati hba1c mikrovasküler komplikasyonlar glisemik kontrol |
| url | https://dergipark.org.tr/tr/download/article-file/3283016 |
| work_keys_str_mv | AT suledeveci associationofdiabeticpolyneuropathyandcarpaltunnelsyndromeroleofglycemiccontrolandmicrovascularcomplications |