Cheiroarthropathy is common in people with type 1 diabetes of long duration ( approximately 30 years) and is related to longer duration and higher levels of glycemia. Clinicians should include cheiroarthropathy in their routine history and physical examination of patients with type 1 diabetes because it causes clinically significant functional disability.
http://www.ncbi.nlm.nih.gov/pubmed/24722493?dopt=Abstract&otool=icamculib