Prospective cohort study

46 subjects w/DM and foot ulcers, 322 controls at general medicine clinic

225 age-matched subjects w/DM followed at one large diabetes center: 76 cases w/existing foot ulceration or history of foot ulceration, 149 controls from other clinics, not a random sample

356 American Indians w/DM followed in primary care setting

Monofilament, N/A biothesiometer, Achilles tendon reflexes

Biothesiometer N/A

5.07 monofilament 32 months

Absence of Achilles tendon reflexes (adjusted abnormal 5.07 monofilament test TcP02 <30 mmHg) Loss of protective sensation (VPT > 25 V) History of amputation Elevated plantar pressure

>65 N per cm2 >1 subjective symptom of neuropathy Hallux rigidus, hallus valgus, toe deformity Poor diabetes control Duration of diabetes

>10 year Male sex

Insensitivity to 5.07 monofilament

6.48 (2.37-18.06) 18.42 (3.83-88.47) 57.87 (5.08-658.96)

Peripheral Neuropathy Natural Treatment Options

Peripheral Neuropathy Natural Treatment Options

This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.

Get My Free Ebook

Post a comment