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Plantar Fascia Thickness in a Patient with Type 1 Diabetes Mellitus

Description

The thickness of the plantar fascia is a measure of tissue glycation. It correlates with a number of microvascular complications seen in patients with Type 1 diabetes. The authors are from Children’s Hospital at Westmead in New South Wales, University of Sydney and the University of Western Sydney.


Method of measurement: ultrasound

 

Plantar Fascia Thickness

Interpretation

< 1.7 mm

normal

1.7 mm

borderline

> 1.7 mm

abnormal

 

 

Factor

Retinopathy

Elevated AER

SRPD

PNA

CANA

plantar fascia thick

yes

yes

yes

yes

yes

female

yes

 

 

yes

 

increased HA1c

yes

yes

 

yes

yes

duration daibetes

yes

yes

yes

 

 

 

where:

• AER = urine albumin excretion rate, elevated if > 5 µg/min

• SRPD = small resting pupil diameter (< 5.3 mm)

• PNA = peripheral nerve abnormality

• CANA = cardiac autonomic nerve abnormality

• HA1c = hemoglobin A1c


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Specialty

ICD-10