{"id":10436,"date":"2025-10-09T16:06:26","date_gmt":"2025-10-09T14:06:26","guid":{"rendered":"https:\/\/rvh-synergie.org\/actualites\/les-adolescents-diabetiques-presentant-une-glycemie-elevee-presentent-un-risque-plus-eleve-de-neuropathie-a-lage-adulte\/"},"modified":"2025-10-09T16:06:28","modified_gmt":"2025-10-09T14:06:28","slug":"les-adolescents-diabetiques-presentant-une-glycemie-elevee-presentent-un-risque-plus-eleve-de-neuropathie-a-lage-adulte","status":"publish","type":"post","link":"https:\/\/rvh-synergie.org\/actualites\/les-adolescents-diabetiques-presentant-une-glycemie-elevee-presentent-un-risque-plus-eleve-de-neuropathie-a-lage-adulte\/","title":{"rendered":"Les adolescents diab\u00e9tiques pr\u00e9sentant une glyc\u00e9mie \u00e9lev\u00e9e pr\u00e9sentent un risque plus \u00e9lev\u00e9 de neuropathie \u00e0 l\u2019\u00e2ge adulte"},"content":{"rendered":"
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Un mauvais contr\u00f4le de la glyc\u00e9mie \u00e0 l’adolescence augmente le risque de complications futures douloureuses pour les personnes atteintes de diab\u00e8te de type 1, sugg\u00e8re une recherche codirig\u00e9e par l’Universit\u00e9 du Michigan.<\/p>\n

L’\u00e9tude, qui a suivi les participants pendant plus de 30 ans, met en \u00e9vidence \u00e0 quel point les enfants diagnostiqu\u00e9s avec un diab\u00e8te de type 1 \u00e0 un jeune \u00e2ge ont du mal \u00e0 contr\u00f4ler leur glyc\u00e9mie \u00e0 l’adolescence.<\/p>\n

Les enqu\u00eateurs ont d\u00e9couvert que les enfants qui avaient un mauvais contr\u00f4le glyc\u00e9mique, c’est-\u00e0-dire un taux de sucre dans le sang sup\u00e9rieur \u00e0 la moyenne, \u00e0 l’adolescence \u00e9taient plus susceptibles de d\u00e9velopper une neuropathie \u00e0 l’\u00e2ge adulte.<\/p>\n

La neuropathie est une l\u00e9sion nerveuse pouvant provoquer des douleurs, des engourdissements et des picotements dans les extr\u00e9mit\u00e9s. Sur pr\u00e8s de 40 millions d\u2019Am\u00e9ricains diab\u00e9tiques, jusqu\u2019\u00e0 50 % peuvent recevoir un diagnostic de neuropathie.<\/p>\n

Les r\u00e9sultats sont publi\u00e9s dans Recherche sur le diab\u00e8te et pratique clinique<\/i>.<\/p>\n

\u00ab Cette \u00e9tude unique souligne l’importance d’aider les adolescents atteints de diab\u00e8te de type 1 \u00e0 bien g\u00e9rer leur glyc\u00e9mie et \u00e0 assurer une transition en douceur vers les soins pour adultes afin de pr\u00e9venir de futures complications \u00bb, a d\u00e9clar\u00e9 Eva Feldman, MD, Ph.D., co-auteure principale, directrice du Centre d’excellence SLA \u00e0 UM Health et professeur universitaire \u00e9m\u00e9rite James W. Albers \u00e0 UM.<\/p>\n

Les enfants participant \u00e0 l\u2019\u00e9tude ont re\u00e7u un diagnostic de diab\u00e8te de type 1 avant l\u2019\u00e2ge de six ans. Les chercheurs ont acc\u00e9d\u00e9 \u00e0 pr\u00e8s de 2\u00a0000 mesures d\u2019HbA1c (glyc\u00e9mie) des participants au cours d\u2019une p\u00e9riode de trois d\u00e9cennies.<\/p>\n

\u00c0 l’adolescence, les participants avaient une glyc\u00e9mie moyenne de 8,9 %, sup\u00e9rieure aux moyennes de l’enfance et de l’\u00e2ge adulte.<\/p>\n

Les participants pr\u00e9sentant la plus forte augmentation des taux d\u2019HbA1c entre l\u2019enfance et l\u2019adolescence ont non seulement conserv\u00e9 des taux de sucre dans le sang plus \u00e9lev\u00e9s \u00e0 l\u2019\u00e2ge adulte, mais ils pr\u00e9sentaient \u00e9galement un risque plus \u00e9lev\u00e9 de neuropathie.<\/p>\n

\u00ab\u00a0Nos r\u00e9sultats sugg\u00e8rent que les difficult\u00e9s \u00e0 maintenir la glyc\u00e9mie \u00e0 l’adolescence pourraient entra\u00eener de plus grandes difficult\u00e9s \u00e0 atteindre le contr\u00f4le glyc\u00e9mique futur\u00a0\u00bb, a d\u00e9clar\u00e9 Feldman.<\/p>\n

\u00ab\u00a0Bien que les m\u00e9canismes \u00e0 l’origine de cette association ne soient pas clairs, l’hyperglyc\u00e9mie entra\u00eene des alt\u00e9rations du m\u00e9tabolisme cellulaire, de la signalisation de l’insuline et de la r\u00e9gulation du glucose, qui pourraient toutes entra\u00eener des probl\u00e8mes \u00e0 long terme dans le contr\u00f4le glyc\u00e9mique optimal.\u00a0\u00bb<\/p>\n

L’hyperglyc\u00e9mie adolescente n’est probablement pas le seul contributeur au risque de complications futures, telles que la neuropathie, explique Kara Mizokami-Stout, MD, M.Sc., professeur adjoint de m\u00e9tabolisme, d’endocrinologie et de diab\u00e8te \u00e0 la facult\u00e9 de m\u00e9decine de l’UM, qui n’a pas particip\u00e9 \u00e0 l’\u00e9tude.<\/p>\n

\u00ab\u00a0Bien que des liens clairs entre la glyc\u00e9mie et la neuropathie aient \u00e9t\u00e9 d\u00e9couverts dans le diab\u00e8te de type 1, nous savons qu’il existe \u00e9galement des facteurs de risque vasculaire qui jouent un r\u00f4le cl\u00e9 dans le d\u00e9veloppement de la neuropathie\u00a0\u00bb, a d\u00e9clar\u00e9 Mizokami-Stout.<\/p>\n

\u00ab\u00a0Cependant, cette \u00e9tude souligne la n\u00e9cessit\u00e9 de maximiser notre soutien aux jeunes personnes atteintes de diab\u00e8te.\u00a0\u00bb<\/p>\n

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Un mauvais contr\u00f4le de la glyc\u00e9mie \u00e0 l’adolescence augmente le risque de complications futures douloureuses<\/p>\n","protected":false},"author":1,"featured_media":10437,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[86],"tags":[58,3191,691,105,963,7026,2316,49,6033,3061,104,40,47],"class_list":["post-10436","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-les-maladies","tag-adolescents","tag-adulte","tag-diabetiques","tag-eleve","tag-elevee","tag-glycemie","tag-lage","tag-les","tag-neuropathie","tag-presentant","tag-presentent","tag-risque","tag-une","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-50","resize-featured-image"],"yoast_head":"\nLes adolescents diab\u00e9tiques pr\u00e9sentant une glyc\u00e9mie \u00e9lev\u00e9e pr\u00e9sentent un risque plus \u00e9lev\u00e9 de neuropathie \u00e0 l\u2019\u00e2ge adulte - RVH-Synergie.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/rvh-synergie.org\/actualites\/les-adolescents-diabetiques-presentant-une-glycemie-elevee-presentent-un-risque-plus-eleve-de-neuropathie-a-lage-adulte\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Les adolescents diab\u00e9tiques pr\u00e9sentant une glyc\u00e9mie \u00e9lev\u00e9e pr\u00e9sentent un risque plus \u00e9lev\u00e9 de neuropathie \u00e0 l\u2019\u00e2ge adulte - 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