High A1c levels are associated with the development of 'trigger finger' in people with T1D and T2D, researchers find.
"As a hand surgeon, I think clinicians should always screen for hand problems in people with diabetes. It's an easy question: 'Are you having problems with your hands?' It's an open question and you can ask it in 2 seconds. Of course, the heart, eye, and kidney problems are more important.
Trigger finger is treatable with corticosteroid injections or surgical open release of the A1 pulley. The injections — which often dramatically raise blood glucose levels temporarily — also aren't always a permanent treatment, especially in people who have had diabetes for a long time or who have multiple trigger fingers."It's more likely to recur [following injections] in those individuals.
People with diabetes tend to recover from the trigger release surgery a bit more slowly than those without diabetes, and may experience more pain and stiffness in the fingers, but after a year there are no differences."So you can tell your patients with diabetes it might take some time but you will recover," he toldThe study population included 9682 adults with type 1 diabetes and 85,755 with type 2 diabetes from the Swedish National Diabetes Register from 2004-2019.
Among those with type 1 or type 2 diabetes, mean A1c was higher for both men and women diagnosed with trigger finger during the study period compared with those who weren't , with an odds ratio 5.33 compared with men with type 1 diabetes who had A1c levels ≤ 48 mmol/mol .and type 2 diabetes, aiming to identify which specific populations might benefit from diabetes screening.
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