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Light Test Illuminates Diabetes Woes

Test Detects Fluorescent Skin Deposits Linked to Diabetes Complications

By DeNoon

WebMD Medical News

Reviewed By Louise Chang, MD on Wednesday, October 25, 2006

Oct. 25, 2006 - Doctors may soon be able to identify people at risk of

diabetes complications by simply shining bright light on a patch of skin

below the elbow.

The test uses a new tool, from the Dutch firm DiagnOptics, to measure

fluorescent deposits in the skin. These deposits may sound pretty, but they

can create serious problems for diabetes patients.

In a new study of patients with type 2 diabetes, Helen L. Lutgers, MD, of

Groningen University Medical Center, Netherlands, and colleagues report that

people with diabetes have much more fluorescent skin than people without the

disease.

Moreover, the more diabetes complications a person has, the more fluorescent

their skin.

The explanation?

The body's energy supply comes from burning sugar. People with diabetes

don't burn sugar efficiently. This leads to a buildup of sugar byproducts

that damages the walls of blood vessels -- and eventually causes heart, eye,

brain, and nerve damage.

These sugar byproducts -- advanced glycation end products, or AGEs -- glow

when lit by fluorescent light. The tool from DiagnOptics detects the glowing

AGEs.

" With this tool, doctors could easily check people with diabetes in an

outpatient clinic setting to see whether they may already be developing

dangerous complications, " Lutgers says in a news release. " The sooner

complications are detected, the better the chance of preventing progression

of damage. "

Doctors currently use blood tests to see how well people with diabetes are

keeping their blood sugar under control. But these tests only tell how well

a person has done recently. AGE deposits, Lutgers and colleagues note,

provide more " long-term memory " of blood-sugar control.

The study appears in the December issue of Diabetes Care. It was funded by

the Dutch Diabetes Research Foundation.

Two of Lutgers' colleagues are the co-founders of DiagnOptics.

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