Authors
Barbara Braffett, Rose Gubitosi-Klug, James W Albers, Eva L Feldman, Catherine Martin, Neil H White, Trevor J Orchard, Maria F Lopes-Virella, Philip Raskin, Rodica Pop-Busui, DCCT/EDIC STUDY GROUP
Publication date
2019/6/1
Journal
Diabetes
Volume
68
Issue
Supplement_1
Publisher
American Diabetes Association
Description
The Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) study reported that intensive glucose control as assessed by hemoglobin A1c (HbA1c) reduced the risk of diabetic peripheral neuropathy (DPN) and cardiovascular autonomic neuropathy (CAN) in type 1 diabetes (T1D), with long lasting benefits. We evaluated additional clinical parameters and risk factors that could contribute to the development of DPN and CAN in this cohort. DPN was assessed at three different times and defined as a composite of symptoms, signs, and abnormal nerve conduction studies in≥ 2 nerves; CAN was assessed seven different times and defined based on RR variation, Valsalva maneuver, and postural changes in blood pressure. Generalized estimating equation models were used to evaluate the association of DPN and CAN with individual risk factors over repeated …