Common tests may miss pediatric diabetic neuropathy

Noninvasive methods for screening pediatric patients with type 1 diabetes for peripheral diabetic neuropathy (DN) have low sensitivity, according to a systematic review published online April 7 in Pediatrics. The American Diabetes Association recommends that starting in puberty, children with type 1 diabetes undergo annual screening for DN using a 10-g monofilament to see whether the patient detects light touch. However, the authors found that neither this method nor screening with a tuning fork was terribly useful for detecting DN.

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Common tests may miss pediatric diabetic neuropathy

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