Association of Diabetic Polyneuropathy and Carpal Tunnel Syndrome: Role of Glycemic Control and Microvascular Complications

Authors : Şule DEVECİ

Pages : 440-445

Doi:10.31832/smj.1331815

View : 76 | Download : 48

Publication Date : 2023-09-30

Article Type : Research Paper

Abstract :Introduction: Carpal tunnel syndrome insert ignore into journalissuearticles values(CTS); is more common in diabetes mellitus insert ignore into journalissuearticles values(DM);, especially in individuals with diabetic polyneuropathy insert ignore into journalissuearticles values(DPN);. This study aimed to retrospectively investigate the effects of elevated glycosylated hemoglobin insert ignore into journalissuearticles values(HbA1c); levels, duration of diabetes, and other microvascular complications of DM on the frequency and severity of CTS in patients with DPN. Material and methods: 124 DPN patients were included in the study. In these patients, fasting blood glucose insert ignore into journalissuearticles values(FBG); and HbA1c levels, duration of DM, antidiabetic drugs used, comorbidities, and other complications of diabetes were questioned. According to the results of the electrophysiological examination, the patients were divided into 2 groups: those with only DPN and those with DPN + CTS. Results: When diabetes complications were investigated, diabetic nephropathy was found only in those with DPN + CTS insert ignore into journalissuearticles values(p=0.045);. Electrophysiologically, in sensory fibers in all patients, In 43 patients insert ignore into journalissuearticles values(34.7%);, involvement of motor fibers was accompanied. A positive correlation was found between the severity of CTS and duration of diabetes, FBG and HbA1c levels, and subcutaneous insulin use insert ignore into journalissuearticles values(p=0.018, p=0.014, p=0.003, p=0.029, respectively);. Conclusion: Good glycemic control can reduce the risk of developing CTS with microvascular complications of diabetes. Therefore, it is important for patients to protect their hand function and prevent the development of CTS by being informed about the complications of diabetes.
Keywords : Karpal tünel sendromu, Diyabetik polinöropati, HbA1c, Mikrovasküler komplikasyonlar, Glisemik kontrol