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Journal ArticleDOI

Quantitative sensory examination in diabetic children: assessment of thermal discrimination.

TLDR
Both investigations can be carried out easily and are unobtrusive, which is an important advantage in the examination of children, and TDTs were significantly higher in the group of diabetic children.
Abstract
Vibration perception thresholds (VPTs) and thermal discrimination thresholds (TDTs) were investigated in 55 insulin-dependent diabetic children aged 11.3 +/- 3.9 years (mean +/- SD) and in 81 controls. There was no significant difference in VPTs between the two groups. TDTs were significantly higher in the group of diabetic children (p less than 0.03). Eight diabetic children had abnormal thermal sensation and one child had abnormal vibratory sensation. TDT correlated positively with duration of diabetes mellitus (r = 0.25; p less than 0.05). Both investigations can be carried out easily and are unobtrusive, which is an important advantage in the examination of children.

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Citations
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Journal ArticleDOI

Quantitative sensory testing

TL;DR: In this review the various test algorithms are screened, and their relative advantages and disadvantages are discussed.
Journal ArticleDOI

Reference values for quantitative sensory testing in children and adolescents: developmental and gender differences of somatosensory perception.

TL;DR: It is demonstrated that the full QST protocol is feasible and valid for children over 5 years of age with their own reference values, which are similar and plausible for statistical factors.
Journal ArticleDOI

Quantitative assessment of cutaneous thermal and vibration sensation and thermal pain detection thresholds in healthy children and adolescents

TL;DR: Values of cold sensation, warm sensation, cold pain, heat pain, and vibration sensation detection thresholds were determined in the hand and foot with the method of limits (MLI) and method of levels (MLE).
Journal ArticleDOI

Discordant Trends in Microvascular Complications in Adolescents With Type 1 Diabetes From 1990 to 2002

TL;DR: Retinopathy and microalbuminuria declined over time in this cohort, but the increased rate of peripheral nerve abnormalities is of concern, and despite intensified management, A1C has not changed and remains well above the recommended targets for adolescents.
Journal ArticleDOI

Assessment of small and large fiber function in long-term type 1 (insulin-dependent) diabetic patients with and without painful neuropathy

TL;DR: It is suggested that both generalized and selective small or large fiber affection may occur in long‐term type 1 diabetic patients, and Dysfunction of both modalities is more severe in the lower limbs, when painful symptoms have developed in this region.
References
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Journal ArticleDOI

Standardised method of determining vibratory perception thresholds for diagnosis and screening in neurological investigation.

TL;DR: The variance of the vibration perception threshold was less than that of the disappearance threshold, and determination of the perception threshold alone may be sufficient in most cases.
Journal ArticleDOI

Electrophysiological studies in diabetic neuropathy

TL;DR: Evidence at hand that the neuropathy develops concomitantly with and as an integral part of the metabolic disturbance rather than as a consequence of the vascular complications of diabetes is supported.
Journal ArticleDOI

Nerve function and metabolic control in teenage diabetics.

Robert J. Young, +2 more
- 01 Feb 1983 - 
TL;DR: The findings suggest that abnormal peripheral and autonomic nerve function are common in young insulin-dependent diabetics and that poor metabolic control is a major determinant of the damage.
Journal ArticleDOI

Thermal discrimination thresholds in normal subjects and in patients with diabetic neuropathy.

TL;DR: It was confirmed that thermal discrimination of the foot decreased with increasing age and in patients with diabetic neuropathy the increased thresholds for the foot could be correlated with length-dependent degeneration of small nerve fibres.
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