Frequency of hand and shoulder symptoms in patients with Type 1 diabetes

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Raje, YR
Cracknell, G
Davoren, PM
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2015
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Abstract

Aims: To characterize the frequency of joint symptoms in patients with Type 1 diabetes mellitus and to determine the subset of patients at risk of developing these symptoms.

Methods: We invited patients with Type 1 diabetes to complete a survey in which upper limb joint symptoms were scored using a composite of the Shoulder Pain and Disability Index and a visual analogue scale. Family or friends of the participants, without diabetes, completed control surveys.

Results: A total of 131 patients and 79 age‐ and sex‐matched control subjects completed the surveys. Patients with Type 1 diabetes had higher composite symptom scores than did the control subjects [median (range) score 25 (0–208) vs 12 (0–145); P < 0.001]. Patients with long‐standing diabetes had significantly higher median (range) scores than those with diabetes of shorter duration [diabetes >30 years: 63(0–208), 15–30 years: 46(0–168), diabetes <15 years: 17(0–143)]. Patients with diabetic nephropathy had higher scores than those without [median (range) score 103 (0–173) vs 22 (0–208); P = 0.007 between groups]. Neither blood glucose control nor age at diagnosis predicted higher scores.

Conclusion: Upper limb joint symptoms occur with greater frequency in patients with Type 1 diabetes. Longer duration of disease is the best predictor of symptoms. Blood glucose control does not appear to be associated with development of symptoms.

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Diabetic Medicine
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Clinical sciences
Clinical sciences not elsewhere classified
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