Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2006-3-7
pubmed:abstractText
It is not known whether C-fiber functional subclasses are differentially affected by diabetes mellitus or whether the patterns of C-fiber dysfunction are different between type 1 and type 2 diabetes. We therefore examined efferent sympathetic sudomotor and primary afferent nociceptor C-fiber function in diabetic patients. Acetylcholine (10%) was used to evoke C-fiber (axon-reflex)-mediated responses. The nociceptor (flare) response was measured using a laser Doppler device. The sudomotor response was quantified with silastic imprints. The nociceptor C-fiber-mediated flare response was reduced in type 2 diabetic patients (P < 0.008) but was similar to controls in type 1 diabetic patients. The sympathetic C-fiber-mediated responses, including sweat volume (P < 0.05) and the number of activated sweat glands (P = 0.003), were increased in patients with type 1 diabetes. There also was a trend toward a larger axon-reflex sweat area in patients with type 1 diabetes (P = 0.09). No differences in these sweat responses were found in patients with type 2 diabetes compared to controls. These findings suggest that the functional abnormalities in diabetic peripheral neuropathy are not homogeneous and that C-fiber subclasses are differentially affected in type 1 and 2 diabetes mellitus.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0148-639X
pubmed:author
pubmed:issnType
Print
pubmed:volume
33
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
494-9
pubmed:meshHeading
pubmed-meshheading:16411196-Acetylcholine, pubmed-meshheading:16411196-Adult, pubmed-meshheading:16411196-Axons, pubmed-meshheading:16411196-Data Interpretation, Statistical, pubmed-meshheading:16411196-Diabetes Mellitus, Type 1, pubmed-meshheading:16411196-Diabetes Mellitus, Type 2, pubmed-meshheading:16411196-Diabetic Nephropathies, pubmed-meshheading:16411196-Female, pubmed-meshheading:16411196-Forearm, pubmed-meshheading:16411196-Humans, pubmed-meshheading:16411196-Iontophoresis, pubmed-meshheading:16411196-Male, pubmed-meshheading:16411196-Middle Aged, pubmed-meshheading:16411196-Nerve Fibers, Unmyelinated, pubmed-meshheading:16411196-Nociceptors, pubmed-meshheading:16411196-Reflex, pubmed-meshheading:16411196-Regional Blood Flow, pubmed-meshheading:16411196-Skin, pubmed-meshheading:16411196-Sweating, pubmed-meshheading:16411196-Sympathetic Nervous System, pubmed-meshheading:16411196-Vasodilation, pubmed-meshheading:16411196-Vasodilator Agents
pubmed:year
2006
pubmed:articleTitle
Differential impairment of the sudomotor and nociceptor axon-reflex in diabetic peripheral neuropathy.
pubmed:affiliation
Department of Neurology, University of Münster, Münster, Germany.
pubmed:publicationType
Journal Article