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Rapid glycemic regulation in poorly controlled patients living with diabetes, a new associated factor in the pathophysiology of Charcot's acute neuroarthropathy.


ABSTRACT: OBJECTIVE:Aggressive antidiabetic therapy and rapid glycemic control are associated with diabetic neuropathy. Here we investigated if this is also the case for Charcot neuroarthropathy. RESEARCH DESIGN AND METHODS:HbA1c levels and other relevant data were extracted from medical databases of 44 cases of acute Charcot neuroarthropathy. RESULTS:HbA1c levels significantly declined from 8.25% (67mmol/mol) [7.1%-9.4%](54-79mmol/mol), at -6 months (M-6), to 7.40%(54mmol/mol) [6.70%-8.03%] (50-64 mmol/mol) during the six months preceding the diagnosis of Charcot neuroarthropathy (P <0.001). CONCLUSIONS:HbA1c levels significantly declined during the six months preceding the onset of Charcot neuroarthropathy. This decline seems to be a associated factor with the appearance of an active phase of Charcot neuroarthropathy in poorly controlled patients with diabetic sensitive neuropathy.

SUBMITTER: Dardari D 

PROVIDER: S-EPMC7241699 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Rapid glycemic regulation in poorly controlled patients living with diabetes, a new associated factor in the pathophysiology of Charcot's acute neuroarthropathy.

Dardari Dured D   Van Georges Ha GH   M'Bemba Jocelyne J   Laborne Francois-Xavier FX   Bourron Olivier O   Davaine Jean Michel JM   Phan Franck F   Foufelle Fabienne F   Jaisser Frédéric F   Penfornis Alfred A   Hartemann Agnes A  

PloS one 20200521 5


<h4>Objective</h4>Aggressive antidiabetic therapy and rapid glycemic control are associated with diabetic neuropathy. Here we investigated if this is also the case for Charcot neuroarthropathy.<h4>Research design and methods</h4>HbA1c levels and other relevant data were extracted from medical databases of 44 cases of acute Charcot neuroarthropathy.<h4>Results</h4>HbA1c levels significantly declined from 8.25% (67mmol/mol) [7.1%-9.4%](54-79mmol/mol), at -6 months (M-6), to 7.40%(54mmol/mol) [6.70  ...[more]

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