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Ventilatory control in diabetes mellitus.

J M Montserrat, G M Cochrane, C Wolf

    European Journal of Respiratory Diseases
    |August 1, 1985
    PubMed
    Summary
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    Diabetic autonomic neuropathy impairs the body's control over breathing. Both hypoxia and hypercapnia responses were weaker in patients with diabetic autonomic neuropathy compared to those without.

    Area of Science:

    • Cardiorespiratory Physiology
    • Diabetic Complications
    • Neurology

    Background:

    • Diabetes mellitus can lead to autonomic neuropathy, affecting various bodily functions.
    • Respiratory control is crucial for maintaining homeostasis.
    • Autonomic neuropathy may impact ventilatory control in diabetic patients.

    Purpose of the Study:

    • To evaluate the ventilatory control system in diabetic patients.
    • To compare respiratory responses between diabetic patients with and without autonomic neuropathy and healthy controls.
    • To investigate the relationship between abnormal respiratory responses and diabetes duration.

    Main Methods:

    • A study involving 40 diabetic patients (20 with and 20 without autonomic neuropathy) and 20 healthy controls.

    Related Experiment Videos

  • Assessment of ventilatory response to transient hypoxia.
  • Assessment of ventilatory response to hypercapnia.

    • Main Results:

    • Diabetic patients without autonomic neuropathy showed a reduced ventilatory response to hypoxia compared to controls.
    • Diabetic patients with autonomic neuropathy exhibited an even weaker ventilatory response to hypoxia.
    • Similar patterns of reduced ventilatory response to hypercapnia were observed in diabetic patients, particularly those with autonomic neuropathy.
    • No correlation was found between the duration of diabetes and the presence of abnormal respiratory responses.

    Conclusions:

    • Diabetic autonomic neuropathy significantly impairs ventilatory control.
    • Both hypoxia and hypercapnia responses are diminished in diabetic patients with autonomic neuropathy.
    • The findings highlight a potential risk for respiratory dysfunction in diabetic patients with autonomic neuropathy.