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Complications

Early Decrease of Skin Blood Flow in Response to Locally Applied Pressure in Diabetic Subjects

  1. Berengere Fromy1,
  2. Pierre Abraham1,
  3. Celine Bouvet1,
  4. Beatrice Bouhanick2,
  5. Philippe Fressinaud2 and
  6. Jean Louis Saumet1
  1. 1Laboratory of Physiology, Medicine Department, University of Angers, Angers, France
  2. 2Department of Internal Medicine and Diabetology, University Hospital, Angers, France
    Diabetes 2002 Apr; 51(4): 1214-1217. https://doi.org/10.2337/diabetes.51.4.1214
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      FIG. 1.

      Means ± SE of skin blood flow measured with laser Doppler flowmetry during progressive 5.0 mmHg/min local pressure increase in diabetic patients without neuropathy (○) and control subjects (•) in usual ambient temperature. The mean skin temperatures were 29.3 ± 0.4 and 28.7 ± 0.4°C, respectively. Data are expressed as arbitrary units.

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    • TABLE 1

      Characteristics of study subjects

      Neuropathic patientsSubclinical neuropathic patientsNonneuropathic patientsControl subjects
      n15151515
      Age (years)50 ± 358 ± 440 ± 347 ± 2
      Men/women8/711/48/77/8
      Type of diabetes (1/2)5/108/79/6—
      Diabetes duration (years)13.1 ± 2.611.9 ± 2.97.2 ± 2.0—
      Height (cm)167 ± 2168 ± 2166 ± 2172 ± 3
      Weight (kg)77 ± 473 ± 266 ± 467 ± 3
      Glycemia (g/l)1.6 ± 0.21.3 ± 0.11.6 ± 0.2—
      TcPO2
       Forearm (mmHg)69 ± 364 ± 368 ± 369 ± 2
       Foot (mmHg)64 ± 462 ± 464 ± 365 ± 3
      • Data are means ± SE.

    • TABLE 2

      Results of the assessment of neuropathy

      Neuropathic patientsSubclinical neuropathic patientsNonneuropathic patientsControl subjects
      Neuropathy symptom score2.1 ± 0.70.7 ± 0.20 ± 00 ± 0
      Neuropathy disability score8.7 ± 1.42.2 ± 0.50 ± 00 ± 0
      Semmes-Weinstein monofilaments (g)3.8 ± 0.1†3.7 ± 0.2*2.7 ± 0.13.1 ± 0.2
      Neurothesiometer (a.u.)20.4 ± 4.7‡16.8 ± 1.8‡8.8 ± 1.28.7 ± 0.9
      Peroneal nerve conduction velocity (m/s)38.6 ± 1.640.4 ± 0.744.9 ± 0.9—
      Measurable velocities8 (53)8 (53)13 (87)—
      • Data are means ± SE or n (%).

      • *

        * P < 0.05 vs. control subjects;

      • †

        † P < 0.01 vs. control subjects;

      • ‡

        ‡ P < 0.001 vs. control subjects.

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    Early Decrease of Skin Blood Flow in Response to Locally Applied Pressure in Diabetic Subjects
    Berengere Fromy, Pierre Abraham, Celine Bouvet, Beatrice Bouhanick, Philippe Fressinaud, Jean Louis Saumet
    Diabetes Apr 2002, 51 (4) 1214-1217; DOI: 10.2337/diabetes.51.4.1214

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    Early Decrease of Skin Blood Flow in Response to Locally Applied Pressure in Diabetic Subjects
    Berengere Fromy, Pierre Abraham, Celine Bouvet, Beatrice Bouhanick, Philippe Fressinaud, Jean Louis Saumet
    Diabetes Apr 2002, 51 (4) 1214-1217; DOI: 10.2337/diabetes.51.4.1214
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