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Coping with autonomic neuropathy.

R S Clements1, M A Flint

  • 1University of Pennsylvania School of Medicine, Philadelphia.

The Journal of Diabetic Complications
|July 1, 1988
PubMed
Summary
This summary is machine-generated.

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Diabetic autonomic neuropathy is a common diabetes complication affecting nerves. Managing blood sugar, blood pressure, and weight may prevent or delay its progression, improving patient quality of life.

Area of Science:

  • Endocrinology and Metabolism
  • Neurology

Background:

  • Diabetic autonomic neuropathy (DAN) is the most frequent complication of diabetes mellitus.
  • DAN affects multiple organ systems, including the cardiovascular, gastrointestinal, and genitourinary tracts.
  • It also involves dysfunction of counterregulatory hormones.

Purpose of the Study:

  • To provide an overview of diabetic autonomic neuropathy.
  • To discuss current palliative treatment strategies.
  • To highlight potential preventive measures and supportive care.

Main Methods:

  • Literature review of diabetic autonomic neuropathy.
  • Analysis of current treatment modalities.
  • Synthesis of evidence on preventive factors and quality of life management.

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Main Results:

  • Diabetic autonomic neuropathy presents with diverse manifestations like cardiovascular and gastrointestinal denervation.
  • Current treatments are primarily palliative.
  • Control of hyperglycemia, hypertension, and obesity shows promise in preventing or delaying DAN development.

Conclusions:

  • Effective management of diabetic autonomic neuropathy requires a multi-faceted approach.
  • Both lifestyle modifications (controlling hyperglycemia, hypertension, obesity) and therapeutic interventions are crucial.
  • A combination of counseling and pharmaceutical strategies is essential for maintaining a good quality of life for affected patients.