Diabetologia

, Volume 39, Issue 11, pp 1377–1384

Prevalence of diabetic peripheral neuropathy and its relation to glycaemic control and potential risk factors: the EURODIAB IDDM Complications Study

  • S. Tesfaye
  • L. K. Stevens
  • J. M. Stephenson
  • J. H. Fuller
  • M. Plater
  • C. Ionescu-Tirgoviste
  • A. Nuber
  • G. Pozza
  • J. D. Ward
  • the EURODIAB IDDM Complications Study Group

DOI: 10.1007/s001250050586

Cite this article as:
Tesfaye, S., Stevens, L., Stephenson, J. et al. Diabetologia (1996) 39: 1377. doi:10.1007/s001250050586

Summary

The EURODIAB IDDM Complications Study involved the examination of 3250 randomly selected insulin-dependent diabetic patients, from 31 centres in 16 European countries. Part of the examination included an assessment of neurological function including neuropathic symptoms and physical signs, vibration perception threshold, tests of autonomic function and the prevalence of impotence. The prevalence of diabetic neuropathy across Europe was 28 % with no significant geographical differences. Significant correlations were observed between the presence of diabetic peripheral neuropathy with age (p < 0.05), duration of diabetes (p < 0.001), quality of metabolic control (p < 0.001), height (p < 0.01), the presence of background or proliferative diabetic retinopathy (p < 0.01), cigarette smoking (p < 0.001), high-density lipoprotein cholesterol (p < 0.001) and the presence of cardiovascular disease (p < 0.05), thus confirming previous associations. New associations have been identified from this study – namely with elevated diastolic blood pressure (p < 0.05), the presence of severe ketoacidosis (p < 0.001), an increase in the levels of fasting triglyceride (p < 0.001), and the presence of microalbuminuria (p < 0.01). All the data were adjusted for age, duration of diabetes and HbA1c. Although alcohol intake correlated with absence of leg reflexes and autonomic dysfunction, there was no overall association of alcohol consumption and neuropathy. The reported problems of impotence were extremely variable between centres, suggesting many cultural and attitudinal differences in the collection of such information in different European countries. In conclusion, this study has identified previously known and new potential risk factors for the development of diabetic peripheral neuropathy. [Diabetologia (1996) 39: 1377–1384]

Keywords Insulin-dependent diabetes mellitusdiabetic neuropathyprevalenceglycaemic controlmicroalbuminuriaimpotenceepidemiology.

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • S. Tesfaye
    • 1
  • L. K. Stevens
    • 2
  • J. M. Stephenson
    • 2
  • J. H. Fuller
    • 2
  • M. Plater
    • 3
  • C. Ionescu-Tirgoviste
    • 4
  • A. Nuber
    • 5
  • G. Pozza
    • 6
  • J. D. Ward
    • 3
  • the EURODIAB IDDM Complications Study Group
  1. 1.Diabetes Unit, Royal Liverpool University Hospital, Liverpool, UKGB
  2. 2.EURODIAB, Department of Epidemiology and Public Health, University College London, London, UKGB
  3. 3.Diabetes Research Unit, Royal Hallamshire Hospital, Sheffield, UKGB
  4. 4.Clinic of Diabetes, Institute “N. Paulescu”, Bucharest, RomaniaRO
  5. 5.City Hospital Schwabing, Munich, GermanyDE
  6. 6.Ospedale San Raffaele, Milan, ItalyIT