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Hand Manifestations of Diabetes Mellitus

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Hand Manifestations of Diabetes Mellitus

Post  Martijn (admin) on Thu Sep 23, 2010 12:01 am



WHAT ARE THE MAJOR HAND CHARACTERISTICS IN DIABETES MELLITUS?

Diabetes mellitus is a relatively common condition and is frequently encountered in patients seen by hand surgeons. This review examines the known problems associated with diabetes, as well as some of the clinical findings noted in these patients, who often have multiple visits for hand conditions over time.


Full article:
Hand Manifestations of Diabetes Mellitus

Thumbs up! ... It's an extremely informative article - though I am sure that there's more to add regarding the nails, dermatoglyphics - and there has also been a study reported about 10 years ago related to a characteristic related to the life line (see: http://news.bbc.co.uk/2/hi/uk_news/england/1702497.stm )

In general one can say that 'joint limitations' & 'skin thickenings' are the major typical signs in diabetes mellitus (this appears to count for both adults & children, and for both the insuline dependent- and independent types).

Another interesting (shorter) article is available here:
Photoessay - The Skin and Diabetes Mellitus


One of the sign's discussed in the article is the so-called 'Preacher's sign':




The 'Preacher's sign': the hands of two patients with diabetes mellitus and the diabetic hand syndrome. The patients are attempting to fully appose the palms and fingers. The patient on the left illustrates moderate limitation. The patient on the right has significant impairment.


Last edited by Martijn (admin) on Sun Mar 13, 2011 8:35 pm; edited 2 times in total

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Re: Hand Manifestations of Diabetes Mellitus

Post  Lynn on Thu Sep 23, 2010 3:22 am

great article(s), thanks for posting Martijn. I have looked for a long time about signs of diabetes in hands. Thumb up
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Re: Hand Manifestations of Diabetes Mellitus

Post  jeanette on Thu Sep 23, 2010 7:23 am

Very interesting, thanks Martijin.
Jeanette.
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Re: Hand Manifestations of Diabetes Mellitus

Post  Martijn (admin) on Thu Sep 23, 2010 12:03 pm

Hello Lynn & Jeanette,

Great to see that the articles are usefull for you both!


flower

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Re: Hand Manifestations of Diabetes Mellitus

Post  Manfred on Thu Sep 23, 2010 1:36 pm

...thank you Martijn, interesting and helpful.

Regards
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Re: Hand Manifestations of Diabetes Mellitus

Post  Martijn (admin) on Fri Oct 15, 2010 2:22 pm


Fingerprints (& palmar dermatoglyphics) may provide another 'clue' for the risk to develop diabetes...

An interesting example of a significant fingerprint-marker is presented in the following study:

'A fingerprint marker from early gestation associated with diabetes in middle age'
http://ije.oxfordjournals.org/content/38/1/101.full

The study describes that Md15* (a fingerprint ridge count measure on the thumbs minus the ridge count of the pinky fingers) correlates positive with diabetes.

* NOTICE: Md15 = the mean RC of the fingerprints of both thumbs (digit 1, most anterior) minus the mean RC of both little fingers (digit 5, most posterior).]

The results of this study indicate that a very high 'fingerprint ridge count' on the thumb (for example a large whorl) combined with a very low 'fingerprint ridge count' on the pinky finger (for example an arch pattern) ... is a RISK FACTOR related to diabetes.

But of course, remember: one risk factor in isolation... means hardly anything!! So, one really has to find other related risk factors, before one can describe it as a risk factor, etc.





... but there are many other studies available. I the (near) future I will try to present an overview of the most significant dermatoglyphic markers in the perspective of various types of diabetes.


Last edited by Martijn (admin) on Sun Mar 13, 2011 9:03 pm; edited 1 time in total

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Re: Hand Manifestations of Diabetes Mellitus

Post  Lori on Sat Oct 16, 2010 3:05 pm

Martijn (admin) wrote:It's an extremely informative article - though I am sure that there's more to add regarding the nails, dermatoglyphics - and there has also been a study reported about 10 years ago related to a characteristic related to the life line (see: http://news.bbc.co.uk/2/hi/uk_news/england/1702497.stm )

The article stated the following:
In those with diabetes, the line joined a second line at a wider angle and at a point 1cm higher in the palm.

Is there a picture of what this looks like? I can't visualize what it would look like.
Thanks!

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Re: Hand Manifestations of Diabetes Mellitus

Post  Parender on Sat Oct 16, 2010 3:15 pm

Dear Martijin ,

I read in the book of Eugene Scheimann, MD that muscle shrinking may occur in several diseases, sometimes before other symptoms appear. In every one out of four of diabetics show muscle shrinking starts appearing on their hands frequently, at the space at back of the hand between the thumb and the index finger much before the usual symptoms of diabetic mellitus. I have found it correct.
Sethi
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Re: Hand Manifestations of Diabetes Mellitus

Post  Martijn (admin) on Sat Oct 16, 2010 11:22 pm

Lori wrote:
Martijn (admin) wrote:It's an extremely informative article - though I am sure that there's more to add regarding the nails, dermatoglyphics - and there has also been a study reported about 10 years ago related to a characteristic related to the life line (see: http://news.bbc.co.uk/2/hi/uk_news/england/1702497.stm )

The article stated the following:
In those with diabetes, the line joined a second line at a wider angle and at a point 1cm higher in the palm.

Is there a picture of what this looks like? I can't visualize what it would look like.
Thanks!
Hi Lori,

Well spotted!!

Actually... I have wondering about exactly the same question. And I have been looking to find the title of the report, but unfortunately I was not able to find more details about that study. I can't find any related info at all beyond that bbc report.

( Hopeless )

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Re: Hand Manifestations of Diabetes Mellitus

Post  Lori on Sun Oct 17, 2010 1:25 pm

Martijn (admin) wrote:[quote=Actually... I have wondering about exactly the same question. And I have been looking to find the title of the report, but unfortunately I was not able to find more details about that study. I can't find any related info at all beyond that bbc report.

I have attempted to contact Professor Bernard Richards who discovered the correlation between the life line and secondary line with diabetes. I will let you know if I hear back from him.

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Re: Hand Manifestations of Diabetes Mellitus

Post  Martijn (admin) on Sun Oct 17, 2010 1:31 pm


Excellent!! Thumbs up!

Thanks Lori!

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Re: Hand Manifestations of Diabetes Mellitus

Post  Martijn (admin) on Sun Oct 17, 2010 6:10 pm

Parender wrote:Dear Martijin ,

I read in the book of Eugene Scheimann, MD that muscle shrinking may occur in several diseases, sometimes before other symptoms appear. In every one out of four of diabetics show muscle shrinking starts appearing on their hands frequently, at the space at back of the hand between the thumb and the index finger much before the usual symptoms of diabetic mellitus. I have found it correct.
Sethi
Hello mister Sethi!

Thumbs up!

Yes, you've made a valid point - 'muscle atrophy' is a frequently observed characteristic in diabetes. This is another study where hand muscle atrophy was observed in 28% of eighteen-year-old campers with diabetes - in 2/3 of those people: especially in the 5th finger!:
http://www.jpeds.com/article/S0022-3476(76)80011-X/abstract

By the way, Nathaniel Altman has described this aspect as well in his new book 'Palmistry: The Universal Guide'


But the major question regardig this aspect is....

...HOW CAN ONE RECOGNIZE 'MUSCLE ATROPHY' - at an early stage???

Actually, I the 'preachers sign' might be one of those related characteristics!! (Diminished hand strength and diminished joint mobility are other related aspects).


PS. But one should also be aware that especially at higher ages hand muscle atrophy can have many other causes (aging might be related as well). So obviously, recognizing diabetes via the hands only ... require the ability to recognize multiple related signs!!

One single 'sign'... means nothing!!



A visual example of 'hand muscle atrophy':


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Re: Hand Manifestations of Diabetes Mellitus

Post  Lynn on Sun Oct 17, 2010 9:13 pm

Lori wrote:I have attempted to contact Professor Bernard Richards who discovered the correlation between the life line and secondary line with diabetes. I will let you know if I hear back from him.

well done Lori, thanks! Hope you get a response that will help us understand the lines in question.

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Re: Hand Manifestations of Diabetes Mellitus

Post  Martijn (admin) on Sun Mar 13, 2011 10:10 pm



Though hand infections appear not much higher than in the normal population, the severity of the symptoms can provide a signal.

This is an interesting article about hand skin problems in diabetes:
Cutaneous Manifestations of Diabetes: Diabetic Thick Skin

This is an article about a phenomenon called the 'tropical diabetic hand syndrome':
Diabetic hand infections in the tropics

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Re: Hand Manifestations of Diabetes Mellitus

Post  Martijn (admin) on Mon Mar 14, 2011 3:20 pm


cheers

I have made huge progress with identifying the most significant hand characteristics seen in Diabetes, an overview:
33 Hand markers in Diabetes Mellitus!

(More details regarding the occurence of the individual hand markers will be presented at a later stage)

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Re: Hand Manifestations of Diabetes Mellitus

Post  Martijn (admin) on Mon Mar 14, 2011 9:46 pm


cheers ... And the new info about diabetes is now also integrated in my topic about the simian line: http://www.handresearch.com/diagnostics/diabetes-mellitus-simian-line-palm-reading.htm

I think that diabetes can in many cases be assessed from the hand, but it does require to analyse the hand from multiple points of view... the new article describes the most essential aspects of the hands (according scientific studies) for 7 'perspectives'.


NOTICE: The simian line is not a major marker in diabetes, but far most studies found that it IS more often seen among diabetic populations than in the general population...!

PS. Soon I will introduce my new type of 'scientific hand reading' at this forum... which will e.g. describe with much more details how the simian line is only one element in a rich perspective of 'diagnostic hand markers'... hand dance

(I am really very excited about the new perspective(s) that I will soon introduce!)

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Re: Hand Manifestations of Diabetes Mellitus

Post  jeanette on Mon Mar 14, 2011 10:39 pm

Hi Martijin'
Very good and I will quote what you have often said to me. I admire your enthusiasm. Thanks,
Jeanette.
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Re: Hand Manifestations of Diabetes Mellitus

Post  Martijn (admin) on Tue Mar 15, 2011 2:40 am

Thanks!

Hi Jeanette, thanks for your feedback.

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Re: Hand Manifestations of Diabetes Mellitus

Post  Martijn (admin) on Sat Mar 19, 2011 12:40 am


Smile ... Just found the 'Global Diabetes Handprint' project at Facebook:
http://www.facebook.com/diabeteshandprint

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Re: Hand Manifestations of Diabetes Mellitus

Post  Lynn on Sat Mar 19, 2011 2:30 am

Martijn (admin) wrote:
Smile ... Just found the 'Global Diabetes Handprint' project at Facebook:
http://www.facebook.com/diabeteshandprint

applause

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Re: Hand Manifestations of Diabetes Mellitus

Post  Martijn (admin) on Wed Aug 17, 2011 12:35 am


... I have updated the page about diabetes mellitus with various new features, including:
- a 34th hand sign;
- a TOP 10 of significant hand signs for diabetes type 1 and a TOP 10 for diabetes type 2;
- a specification for each hand sign regarding it's significance for type 1 and/or type 2 diabetes

You can check out the details at:
http://www.handresearch.com/diagnostics/diabetes-mellitus-simian-line-palm-reading.htm



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Re: Hand Manifestations of Diabetes Mellitus

Post  Martijn (admin) on Wed Aug 17, 2011 6:43 pm


Additionally, I would like to advice (again) to pay some attention on studying the significance of the so-called 'prayer sign' or 'preacher sign' - because the statistics in the studies have revealed that it is clearly one of the most significant sign in diabetes mellitus (in both the insuline dependent variant AND the non-insuline dependent variant); see also the 2 illustrations below.

NOTICE: This hand sign is also known as 'limited joint mobility', you can read much more about this specific hand sign via:
http://www.musculoskeletalnetwork.com/display/article/1145622/1830765





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Re: Hand Manifestations of Diabetes Mellitus

Post  Manfred on Sun Aug 21, 2011 11:45 pm

Hy Lynn, - out of topic - but you are online: Sunny greetings from the Whitsundays' coast.
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Dupuytrens Contracture

Post  hamilton on Tue Oct 04, 2011 4:46 am

Although probably not related to diabetes, Dupuytrens contracture causes an abnormal stiffening of the fingers, the ring finger in particular. The finger becomes stiff and cannot bend properly. This is due to a ligament contraction. It can be relieved with surgery but not cured as such that way. My doctor is the only person I know who has a cure for it. He uses electrical stimulation in an acupuncture like manner to free the finger.

In a palm print it can be seen like something pulling the skin ridges down not far below the ring finger. It is supposed to be most common in older males of Viking descent.

Incidentally can I insert a picture in this text box?

cheers

Lloyd

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Dupuytren’s Contracture

Post  Roosi on Thu Oct 06, 2011 5:53 pm

Hi wave

Dupuytren’s contracture is a disorder of the hand that is more common amongst people with diabetes. The first sign is often a tender nodule (a small bump) in the palm, near the base of the fingers. It progresses slowly and usually painlessly to cause the fingers to bend inwards towards the palm, so you can no longer fully open your hand.

http://www.diabetes.org.uk/Guide-to-diabetes/Introduction-to-diabetes/Other_associated_conditions/Musculoskeletal_Conditions/Dupuytrens_Contracture/

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