According to an April 26, 2013 published study in the journal Pediatrics, standard screening methods for diabetic peripheral neuropathies (DPN) are not a reliable method for detecting this condition in pediatric patients. According to the American Diabetes Association, children with type 1 diabetes should be tested for DPN on an annual basis. However, new research suggests that the currently recommended noninvasive methods have low sensitivity and are therefore often not able to detect nerve complications.
At US Neuropathy Centers, our providers use the best methods to accurately diagnose diabetic peripheral neuropathy. If a patient with diabetes has been tested for DPN with inconclusive results, we will administer thorough tests to identify the source of a patient’s nerve pain and supplementary symptoms. With 14 locations across the United States, US Neuropathy Centers is the leading nerve treatment center in the country.
Children with diabetes should be tested for diabetic peripheral neuropathy as soon as they hit puberty, according to The American Diabetes Association. Physicians typically use a tool called a monofilament, which is applied to detect light touch. Based on the results from the study titled, “Screening for Peripheral Neuropathies in Children with Diabetes: A Systematic Review,” this screening method is not worthwhile.
If a child has been diagnosed with diabetes for more than 5 years, he or she has a 25 to 50 percent chance of developing decreased nerve function and other debilitating complications, including foot ulcers. Children, however, often have little or no pain associated with their diabetes, making the diagnostic process for DPN more challenging.
Roughly 215,000 children in the United States suffer from diabetes. The US and international guidelines have recommended yearly screening for diabetic peripheral neuropathy in children and adolescents, which could include monofilament, biothesiometer, and turning fork methods. Based on the study, biothesioment testing showed the best detection results and is considered the best diagnostic utility. The study indicated that nerve conduction velocity studies have a higher sensitivity, but are not commonly available to most pediatricians.
To find out more about the study, please visit:http://pediatrics.aappublications.org/content/early/2014/04/02/peds.2013-3645.abstract and the review by MedScape Medical News here: http://www.medscape.com/viewarticle/823521.
If you suffer from nerve pain or diabetic peripheral neuropathy, trust the specialists at US Neuropathy Centers to guide you through the treatment process. We individualize treatment plans in an effort to reverse the disease process. Call and schedule an appointment at your nearest US Neuropathy Centers today.
If you are suffering from neuropathy, please do not hesitate to call us at any of our US Neuropathy Centers locations. With offices in Arizona, California, Colorado, Georgia, Texas, Utah, and Wyoming, our neuropathy experts are easily accessible and here to help.
The advice and information contained in this article is for educational purposes only, and is not intended to replace or counter a physician’s advice or judgment. Please always consult your physician before taking any advice learned here or in any other educational medical material.
@US Neuropathy Centers, 2018