The Relationship between Hand Stiffness and Clinical Background in Patients with Type 1 Diabetes: Analysis Using the Diabetes Study from the Center of Tokyo Women's Medical University (DIACET) 2014

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  • TAKAGI Satoshi
    Diabetes Center, Tokyo Women's Medical University School of Medicine
  • MIURA Junnosuke
    Diabetes Center, Tokyo Women's Medical University School of Medicine
  • HOSHINA Sari
    Diabetes Center, Tokyo Women's Medical University School of Medicine
  • SHIMURA Kanako
    Diabetes Center, Tokyo Women's Medical University School of Medicine
  • KIKUCHI Shunsuke
    Diabetes Center, Tokyo Women's Medical University School of Medicine
  • SHEN Zhuo
    Diabetes Center, Tokyo Women's Medical University School of Medicine
  • ASANUMA Takuya
    Diabetes Center, Tokyo Women's Medical University School of Medicine
  • TAKAIKE Hiroko
    Diabetes Center, Tokyo Women's Medical University School of Medicine
  • MOCHIZUKI Shota
    Diabetes Center, Tokyo Women's Medical University School of Medicine
  • TAKITA Mikako
    Diabetes Center, Tokyo Women's Medical University School of Medicine
  • UCHIGATA Yasuko
    Diabetes Center, Tokyo Women's Medical University School of Medicine

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Other Title
  • 1型糖尿病患者における手のこわばり症状の頻度と臨床的特徴―DIACET2014調査から―
  • 1ガタ トウニョウビョウ カンジャ ニ オケル テ ノ コワバリ ショウジョウ ノ ヒンド ト リンショウテキ トクチョウ : DIACET2014 チョウサ カラ

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Abstract

<p>Introduction: In patients with diabetes mellitus, hand stiffness is a common symptom, and is called diabetic hand syndrome (DHS). We conducted an observational study to investigate the prevalence and clinical backgrounds of hand stiffness in type 1 diabetes (T1D) compared with type 2 diabetes (T2D).</p><p>Materials and Methods: In this single-center observational cross-sectional study, participants completed a questionnaire, with questions on morning stiffness of hands and history of rheumatoid arthritis [RA]). Laboratory data and status of complications were collected from the participants' medical records. We analyzed the prevalence and clinical background of hand stiffness between the T1D and T2D cohorts.</p><p>Results: Participants were 1,360 patients with T1D and 6,254 with T2D. The frequency of hand stiffness was significantly higher in the T2D cohort (18.6 %) than in the T1D cohort (16.1 %). In patients aged 50 years and older, a longer duration and higher prevalence of hand stiffness were found in the T1D cohort than in the T2D cohort. Among the T1D cohort, the frequency of hand stiffness was significantly higher in female than in male participants. Patients with hand stiffness were older and had a longer duration of diabetes than patients without this symptom. In multivariate logistic regression analysis, age, sex, and proliferative retinopathy were independent risk factors.</p><p>Discussion: It was found that T1D patients tended to have hand stiffness while young. By age group, hand stiffness was more common in the T1D cohort. Long-term exposure to hyperglycemia may cause this symptom.</p><p>Conclusion: T1D patients are likely to have hand stiffness at a relatively younger age. Since hand stiffness is more common among female patients, it is necessary to discriminate DHS from connective tissue diseases.</p>

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