Prolonged type 2 diabetes mellitus (T2DM) can result in diabetic peripheral neuropathy (DPN), a disease in which ischemic conditions degrade peripheral nerves. Diffusion tensor imaging (DTI) studies have demonstrated significant microstructural changes in upper extremity pathology, yet limited research has focused on the tibial nerve. We found cross-sectional differences in apparent diffusion coefficient between controls and T2DM and DPN. In a separate longitudinal study, insignificant DTI changes were found in DPN patients that were scanned before and after a 10-week exercise intervention.
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