Impaired vibrotactile sense in children and adolescents with type 1 diabetes – Signs of peripheral neuropathy
Ising, Erik LU ; Dahlin, Lars B. LU
and Larsson, Helena Elding
LU
(2018)
In PLoS ONE
13(4).
- Abstract
Objective To investigate whether multi-frequency vibrometry can identify individuals with elevated vibration perception thresholds (VPTs), reflecting impaired vibrotactile sense, among children and adolescents with type 1 diabetes. Methods In 72 pediatric patients with type 1 diabetes, VPTs were evaluated for seven frequencies on two sites of the hand, and five frequencies on two sites of the foot. Z-scores, based on previously collected reference data, were calculated. Perception to light touch was investigated using monofilaments. Subjects’ characteristics were analyzed in comparison to normal and impaired vibrotactile sense. Results Subjects’ median age, disease duration and age at disease onset were 12.8, 5.3 and 6.9 years,... (More)
Objective To investigate whether multi-frequency vibrometry can identify individuals with elevated vibration perception thresholds (VPTs), reflecting impaired vibrotactile sense, among children and adolescents with type 1 diabetes. Methods In 72 pediatric patients with type 1 diabetes, VPTs were evaluated for seven frequencies on two sites of the hand, and five frequencies on two sites of the foot. Z-scores, based on previously collected reference data, were calculated. Perception to light touch was investigated using monofilaments. Subjects’ characteristics were analyzed in comparison to normal and impaired vibrotactile sense. Results Subjects’ median age, disease duration and age at disease onset were 12.8, 5.3 and 6.9 years, respectively. A total of 13 out of 72 (18%) subjects had impaired vibrotactile sense on at least one foot site. Impaired vibrotactile sense was more common among subjects treated with multiple daily insulin injections (MDI) compared to subjects treated with continuous subcutaneous insulin infusion (CSII) (p = 0.013). Age at disease onset was higher among subjects with impaired vibrotactile sense (p = 0.046). No significant correlations were found with gender, HbA1c or duration of diabetes. Conclusions Impaired vibrotactile sense, mirroring diabetic peripheral neuropathy, was found in 1/5 of the children and adolescents in the study, and was more common in patients treated with MDI than in subjects treated with CSII.
(Less)
- author
- Ising, Erik
LU
; Dahlin, Lars B.
LU
and Larsson, Helena Elding
LU
- organization
- publishing date
- 2018-04-01
- type
- Contribution to journal
- publication status
- published
- subject
- in
- PLoS ONE
- volume
- 13
- issue
- 4
- article number
- e0196243
- publisher
- Public Library of Science (PLoS)
- external identifiers
-
- scopus:85045879350
- pmid:29672623
- ISSN
- 1932-6203
- DOI
- 10.1371/journal.pone.0196243
- language
- English
- LU publication?
- yes
- id
- f6680f65-332e-4aab-956e-fac79dd94f3d
- date added to LUP
- 2018-05-04 11:08:28
- date last changed
- 2024-03-18 09:12:42
@article{f6680f65-332e-4aab-956e-fac79dd94f3d,
abstract = {{<p>Objective To investigate whether multi-frequency vibrometry can identify individuals with elevated vibration perception thresholds (VPTs), reflecting impaired vibrotactile sense, among children and adolescents with type 1 diabetes. Methods In 72 pediatric patients with type 1 diabetes, VPTs were evaluated for seven frequencies on two sites of the hand, and five frequencies on two sites of the foot. Z-scores, based on previously collected reference data, were calculated. Perception to light touch was investigated using monofilaments. Subjects’ characteristics were analyzed in comparison to normal and impaired vibrotactile sense. Results Subjects’ median age, disease duration and age at disease onset were 12.8, 5.3 and 6.9 years, respectively. A total of 13 out of 72 (18%) subjects had impaired vibrotactile sense on at least one foot site. Impaired vibrotactile sense was more common among subjects treated with multiple daily insulin injections (MDI) compared to subjects treated with continuous subcutaneous insulin infusion (CSII) (p = 0.013). Age at disease onset was higher among subjects with impaired vibrotactile sense (p = 0.046). No significant correlations were found with gender, HbA1c or duration of diabetes. Conclusions Impaired vibrotactile sense, mirroring diabetic peripheral neuropathy, was found in 1/5 of the children and adolescents in the study, and was more common in patients treated with MDI than in subjects treated with CSII.</p>}},
author = {{Ising, Erik and Dahlin, Lars B. and Larsson, Helena Elding}},
issn = {{1932-6203}},
language = {{eng}},
month = {{04}},
number = {{4}},
publisher = {{Public Library of Science (PLoS)}},
series = {{PLoS ONE}},
title = {{Impaired vibrotactile sense in children and adolescents with type 1 diabetes – Signs of peripheral neuropathy}},
url = {{http://dx.doi.org/10.1371/journal.pone.0196243}},
doi = {{10.1371/journal.pone.0196243}},
volume = {{13}},
year = {{2018}},
}