Table 6.

Recommended Surveillance for Individuals with Myotonic Dystrophy Type 2

System/ConcernEvaluationFrequency
Neurology –
weakness & myotonia 		Eval by neurologist, OT, & PTAnnually
Ophthalmology –
cataracts 		Ophthalmology exam for posterior subcapsular cataracts & epiretinal membranes
Cardiac arrhythmia
& cardiomyopathy
  • EKG
  • Echocardiogram
  • 24-hr Holter monitoring
Consider cardiac MRI.Per cardiologist
Endocrine
  • Fasting serum glucose concentration
  • Glycosylated hemoglobin level
  • Thyroid hormone levels
  • Serum vitamin D
Annually
Serum testosterone & FSH concentrations in malesFrequency as per sign/symptoms of hypogonadism or per endocrinologist

OT = occupational therapist; PT = physical therapist

From: Myotonic Dystrophy Type 2

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