Corneal confocal microscopy identifies structural small fibre abnormalities in an adolescent with type 1 diabetes and impaired awareness of hypoglycaemia
- Author:
Mainak Banerjee
1
;
Pradip Mukhopadhyay
1
;
Madhurima Basu
1
;
Sujoy Ghosh
1
Author Information
- Publication Type:Case Reports
- Keywords: Corneal confocal microscopy; Small fibre; Autonomic neuropathy; Hypoglycaemia; T1DM
- From: Journal of the ASEAN Federation of Endocrine Societies 2023;38(2):128-130
- CountryPhilippines
- Language:English
- Abstract: Impaired awareness of hypoglycaemia (IAH) is present in around 25-40% of individuals with type 1 diabetes mellitus (T1DM). Herein, we present a case of an adolescent with T1DM and IAH who had worse corneal nerve parameters compared to a T1DM adolescent without IAH. Small fibre abnormalities detected by corneal confocal microscopy in an objective easy-to-perform non-invasive test might be a surrogate indicator of underlying autonomic dysfunction in T1DM and IAH.
- Full text:2689-Article Text-25149-1-10-20231123.pdf