@article{Oleszko_Wąsiewicz_Fularska_Kuźniar_Szawica_2023, title={A painless fracture of a phalanx of the left hand in a patient with type 1 diabetes – case report}, volume={17}, url={https://apcz.umk.pl/JEHS/article/view/42856}, DOI={10.12775/JEHS.2023.17.01.005}, abstractNote={<p><span class="HwtZe" lang="en"><span class="jCAhz ChMk0b"><span class="ryNqvb">The aim of our study is to present a case report of a patient who, due to advanced symmetrical peripheral diabetic polyneuropathy, was unaware of the fracture of the fifth finger of the left hand and even tried to restore it to its previous position.</span></span> <span class="jCAhz ChMk0b"><span class="ryNqvb">The 53-year-old patient with type 1 diabetes at the age of 9, who, </span></span><span class="jCAhz ChMk0b"><span class="ryNqvb">due to non-compliance with medical recommendations and poor metabolic control (over the last 15 years, HbA1c has never fallen below 8.1%, reaching 11.1% in May 2017</span></span><span class="jCAhz ChMk0b"><span class="ryNqvb">), developed  complications such as: ischemic heart disease, diabetic retinopathy, nephropathy and peripheral neuropathy.</span></span> <span class="jCAhz ChMk0b"><span class="ryNqvb">In February 2019, in the morning, when unscrewing the fuel filler cap in the car, the patient suffered a finger fracture.</span></span> <span class="jCAhz ChMk0b"><span class="ryNqvb">He remained unaware of this fact all day due to the lack of any pain symptoms.</span></span> <span class="jCAhz ChMk0b"><span class="ryNqvb">It was only in the evening that he noticed the wrong placement of the fifth finger on his left hand.</span></span> <span class="jCAhz ChMk0b"><span class="ryNqvb">On the next day, there was a slight soreness with pressure, and the swelling deepened, which prompted him to visit the emergency room.</span></span> <span class="jCAhz ChMk0b"><span class="ryNqvb">An X-ray examination was performed there, which showed a fracture of the shaft of the proximal phalanx of the fifth finger of the left hand with angular setting of the fragments.</span></span> <span class="jCAhz ChMk0b"><span class="ryNqvb">The finger was immobilized in a plaster cast and the patient was referred for further check-up in a specialist outpatient clinic.</span></span> <span class="jCAhz ChMk0b"><span class="ryNqvb">Fortunately, the attempt to set the finger on his own did not cause any significant complications, and after removing the plaster cast, the patient regained the use of the broken finger.</span></span> <span class="jCAhz ChMk0b"><span class="ryNqvb">A recent electromyographic study confirmed the existence of a very advanced peripheral neuropathy.</span></span> <span class="jCAhz ChMk0b"><span class="ryNqvb">In summary, improperly treated, poorly controlled type 1 diabetes has serious consequences.</span></span> <span class="jCAhz ChMk0b"><span class="ryNqvb">It is very important that people suffering from it conduct regular self-monitoring of blood glucose levels and lead a healthy lifestyle.</span></span></span></p>}, number={1}, journal={Journal of Education, Health and Sport}, author={Oleszko, Michal and Wąsiewicz, Edward and Fularska, Kamila and Kuźniar, Aleksandra and Szawica, Dominik}, year={2023}, month={Mar.}, pages={46–50} }