AI Article Synopsis
- - The study investigates the link between high HbA1c levels, a measure of blood sugar control, and the risk of developing trigger finger (TF) in individuals with diabetes, as TF causes painful locking of fingers.
- - Researchers analyzed data from nearly 95,000 individuals with type 1 (T1D) and type 2 diabetes (T2D) in Sweden to determine associations, using logistic regression models to account for various factors like age and BMI.
- - Results showed that higher HbA1c levels correlated with increased TF risk for both men and women with T1D and T2D, highlighting the importance of good glycemic control in preventing diabetic hand complications.
Article Abstract
Objective: Trigger finger (TF) is a hand disorder causing the fingers to painfully lock in flexion. Diabetes is a known risk factor; however, whether strict glycemic control effectively lowers risk of TF is unknown. Our aim was to examine whether high HbA1c was associated with increased risk of TF among individuals with diabetes.
Research Design And Methods: The Swedish National Diabetes Register (NDR) was cross-linked with the health care register of the Region of Skåne in southern Sweden. In total, 9,682 individuals with type 1 diabetes (T1D) and 85,755 individuals with type 2 diabetes (T2D) aged ≥18 years were included from 2004 to 2019. Associations between HbA1c and TF were calculated with sex-stratified, multivariate logistic regression models with 95% CIs, with adjustment for age, duration of diabetes, BMI, and systolic blood pressure.
Results: In total, 486 women and 271 men with T1D and 1,143 women and 1,009 men with T2D were diagnosed with TF. Increased levels of HbA1c were associated with TF among individuals with T1D (women OR 1.26 [95% CI 1.1-1.4], P = 0.001, and men 1.4 [1.2-1.7], P < 0.001) and T2D (women 1.14 [95% CI 1.2-1.2], P < 0.001, and men 1.12 [95% CI 1.0-1.2], P = 0.003).
Conclusions: Hyperglycemia increases the risk of developing TF among individuals with T1D and T2D. Optimal treatment of diabetes seems to be of importance for prevention of diabetic hand complications such as TF.
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| http://dx.doi.org/10.2337/dc22-0829 | DOI Listing |
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