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March 6, 1967

Achilles Reflex Test

Author Affiliations

Columbus, Ohio

JAMA. 1967;199(10):768. doi:10.1001/jama.1967.03120100130046

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To the Editor:—  The article "Observations of the Achilles Reflex Test" by Reinfrank et al (199:1, 1967) was extremely interesting, and your editorial comments on the article are very pertinent and well taken.I am intrigued by the amazing recovery of the Achilles reflex in a diabetic after he has been subjected to carbohydrate control. I wonder if the authors of the article would have any explanation of the changes in neurophysiology which permit this. Surely the atherosclerosis of the vasa nervorum is not going to be altered (if the explanation is "diabetic peripheral neuropathy").I would certainly agree that the drawback to the test as mentioned by Reinfrank and his group can be a blessing in disguise if it would help to detect unsuspected cases of diabetes.