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Diabetes Masks Signs of Carpal Tunnel Syndrome
Standard Testing May Not Accurately Detect CTS; Doctors Should Look for Symptoms Instead
Carpal tunnel syndrome (CTS) might not be detected by standard testing methods in people with diabetes, according to researchers in the United States and Canada, who urge doctors to evaluate clinical symptoms.
In a study published in the March 2002 issue of Diabetes Care, co-investigator Vera Brill, MD, FRCPC, and colleagues screened 478 subjects for CTS using the standard method of electrodiagnostic testing (a nerve conduction study). The subjects included individuals who had diabetes but no neuropathy; individuals who had diabetes and either mild, moderate or severe neuropathy; and reference subjects who had neither diabetes nor neuropathy.
Clinical carpal tunnel syndrome was diagnosed in 2 percent of the reference subjects, in 14 percent of the subjects who had diabetes but no neuropathy and in 30 percent of the subjects who had both diabetes and neuropathy. Electrodiagnostic testing was not completely accurate in detecting CTS in the subjects with diabetes.
Because electrodiagnostic testing often fails to detect carpal tunnel syndrome in people with diabetes, the researchers recommend that doctors make therapeutic decisions based on symptoms of carpal tunnel syndrome in individuals with diabetes, independent of electrodiagnostic findings.
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Jun 29, 2007
Categories: Complications & Care, Diabetes, Diabetes, Professional Issues
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Jul 1, 2002
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Diabetes Health
Diabetes Health is the essential resource for people living with diabetes- both newly diagnosed and experienced as well as the professionals who care for them. We provide balanced expert news and information on living healthfully with diabetes. Each issue includes cutting-edge editorial coverage of new products, research, treatment options, and meaningful lifestyle issues.
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