Abstract:
:The study of diabetic neuropathy has been primarily in Europids, despite the high prevalence of diabetes in other populations. We set out to ascertain the prevalence of diabetic neuropathy and its risk factors in the island nation of Mauritius. Population surveys were carried out in 1987 and 1992 in Mauritius to establish the prevalence of Type 2 diabetes. In the second survey, vibration perception threshold (VPT) was also measured at the great toe in 847 subjects with diabetes, 204 subjects with impaired glucose tolerance and 127 subjects with normal glucose tolerance. Neuropathy was defined as levels of VPT exceeding the mean plus 2 standard deviations defined separately for three age groups of Mauritian non-diabetic subjects. Risk factors for neuropathy were identified cross sectionally from the 1992 data, and longitudinally from the 1987 data. Neuropathy was detected in 8.3% of the 847 diabetic subjects (12.7%) of those with known diabetes, and 3.6% of those with newly diagnosed diabetes). Logistic regression identified diabetes duration (odds ratio [95% CI]; 1.08 [1.04-1.13] per year, P=0.0002), treatment with insulin or oral hypoglycaemic agents (2.63 [1.36-5.09], P=0.004) and greater height (1.36 [1.19-1.57] per 5 cm, P < 0.001) as risk factors for neuropathy, in the cross sectional analysis. In the longitudinal analysis, diabetes duration (1.11 [1.05-1.18] per year, P=0.001), fasting glucose (1.12 [1.03-1.22] per mmol/l, P=0.01) and height (1.23 [1.03-1.45] per 5 cm, P=0.02) were associated with neuropathy. A lower 2-h plasma insulin was also associated with neuropathy in the longitudinal analysis. The prevalence of diabetic neuropathy in Mauritius is the lowest reported for any population, but the risk factors associated with it are similar to those previously found.
journal_name
Diabetes Res Clin Practjournal_title
Diabetes research and clinical practiceauthors
Shaw JE,Hodge AM,de Courten M,Dowse GK,Gareeboo H,Tuomilehto J,Alberti KG,Zimmet PZdoi
10.1016/s0168-8227(98)00100-4subject
Has Abstractpub_date
1998-11-01 00:00:00pages
131-9issue
2eissn
0168-8227issn
1872-8227pii
S0168-8227(98)00100-4journal_volume
42pub_type
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Diabetes research and clinical practice
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更新日期:1996-08-01 00:00:00
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journal_title:Diabetes research and clinical practice
pub_type: 杂志文章,多中心研究
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更新日期:2011-12-01 00:00:00
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更新日期:2013-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.diabres.2011.04.002
更新日期:2011-07-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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journal_title:Diabetes research and clinical practice
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:1995-08-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2016-02-01 00:00:00