Upper extremity impairments in type 1 diabetes with long duration; common problems with great impact on daily life

Disability and Rehabilitation
Kerstin GutefeldtAnna Spångeus

Abstract

To investigate the prevalence, activity limitations and potential risk factors of upper extremity impairments in type 1 diabetes in comparison to controls. In a cross-sectional population-based study in the southeast of Sweden, patients with type 1 diabetes <35 years at onset, duration ≥20 years, <67 years old and matched controls were invited to answer a questionnaire on upper extremity impairments and activity limitations and to take blood samples. Seven hundred and seventy-three patients (ages 50 ± 10 years, diabetes duration 35 ± 10 years) and 708 controls (ages 54 ± 9 years) were included. Shoulder pain and stiffness, hand paraesthesia and finger impairments were common in patients with a prevalence of 28-48%, which was 2-4-folds higher than in controls. Compared to controls, the patients had more bilateral impairments, often had coexistence of several upper extremity impairments, and in the presence of impairments, reported more pronounced activity limitations. Female gender (1.72 (1.066-2.272), p = 0.014), longer duration (1.046 (1.015-1.077), p = 0.003), higher body mass index (1.08 (1.017-1.147), p = 0.013) and HbA1c (1.029 (1.008-1.05), p = 0.007) were associated with upper extremity impairments. Compared to controls,...Continue Reading

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Citations

Jul 11, 2018·Clinical Endocrinology·Kerstin GutefeldtHans J Arnqvist
Feb 20, 2019·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Kirsten Nørgaard, Urd Kielgast
Feb 4, 2019·Clinical Rheumatology·Neslihan GokcenTunay Sarpel
Sep 25, 2020·Plastic and Reconstructive Surgery·Osaid H AlserDominic Furniss

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