Diabetes complications

The effect of rapid improvement of blood glucose level on diabetic neuropathy in Korean people with diabetes mellitus

Diabetes Res Clin PractPublished Prospective observational study

Authors' conclusion

Rapid glycemic improvement was not associated with clinically meaningful short-term worsening of neuropathy. Mild, domain-specific autonomic changes occurred in a minority without painful neuropathy

Study context

Population
Korean people with DM undergoing rapid glycemic control
Participants
71 vs 79
Exposure
Boramae Neuropathy vs TRIPLE-AXEL
  • Boramae Neuropathyn = 71
  • TRIPLE-AXELn = 79
Outcome
Short-term changes in neuropathy and autonomic function (NTSS-6, MNSI, COMPASS-31)
Methodological detailstwo cohorts
  • Two cohorts

Main finding

As reported in the abstract

Boramae: abnormal COMPASS-31 prevalence

36.6% to 29.6%

TRIPLE-AXEL: abnormal COMPASS-31 prevalence

6.3% to 1.3%

Observational data: associations, not effects.

Further findings

HbA1c change

Boramae: HbA1c decreased
11.3 ± 1.4% to 6.9 ± 0.8%
TRIPLE-AXEL: HbA1c decreased
9.5 ± 0.8% to 6.4 ± 0.6%

Safety

New abnormal COMPASS-31 scores (Boramae)

Developed abnormal COMPASS-31 scores, mainly orthostatic symptoms, without increased neuropathic pain
8.5%

Original publication

The effect of rapid improvement of blood glucose level on diabetic neuropathy in Korean people with diabetes mellitus. Diabetes Res Clin Pract. Published 21 June 2026. doi:10.1016/j.diabres.2026.113388

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.