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Impact of hypoglecemic episodes on nerves conduction and auditory and visual evoked potentials in children with type 1 diabetes --- Wpływ epizodów hipoglikemii na przewodnictwo nerwowe oraz na słuchowe i wzrokowe potencjały wywołane u dzieci z cukrzycą typu 1

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Author(s): Ewa Pańkowska | Krzysztof Kochanek | Beata Zakrzewska-Pniewska | Barbara Emeryk-Szajewska | Hanna Trippenbach-Dulska | Marta Wysocka-Mincewicz

Journal: Pediatric Endocrinology, Diabetes and Metabolism
ISSN 1234-625X

Volume: 13;
Issue: 1;
Start page: 17;
Date: 2007;
Original page

ABSTRACT
Background: Hypoglycemia is an acute disturbance of energy, especially impacting the central nervous system, but direct influence on peripheral nervous function is not detected. The aim of the study was to establish the influence of hypoglycemic moderate and severe episodes on the function of peripheral nerves, hearing and visual pathway.Material and methods: 97 children with type 1 diabetes (mean age 15.4±2.16 years, mean duration of diabetes 8.11±2.9 years, mean HbA1c 8,58±1.06%), at least 10 years old and with at least 3 years duration of diabetes, were included to study. Nerve conduction studies, visual (VEP) and auditory (ABR) evoked potentials were performed with standard surface stimulating and recording techniques. Moderate hypoglycemic episodes were defined as events of low glycemia requiring help of another person but without loss of consciousness and/or convulsions but recurrent frequently in at least one year. Severe hypoglycemia was defined as events with loss of consciousness and/or convulsions. Univariate ANOVA tests of significance or H Kruskal-Wallis test were used, depending on normality of distribution.Results: The subgroups with a history of hypoglycemic episodes had significant delay in all conduction parameters in the sural nerve (amplitude p
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