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[Diabetic autonomic neuropathy: what are the risks?]
1Service d'Endocrinologie Diabétologie Nutrition Hopital Jean Verdier, Bondy, France.
Diabetes & Metabolism
|January 9, 1999
Summary
Diabetic autonomic neuropathy poses significant health risks, including gastroparesis, bladder dysfunction, and cardiac autonomic neuropathy (CAN). Early detection of CAN through heart rate variation tests is crucial for managing associated mortality and cardiovascular events.
Area of Science:
- Endocrinology and Metabolism
- Neurology
- Cardiology
Context:
- Diabetic autonomic neuropathy is a serious complication of diabetes mellitus.
- It affects multiple organ systems, leading to various functional disorders.
- Cardiac autonomic neuropathy (CAN) is a frequent and severe manifestation.
Purpose:
- To review the risks associated with diabetic autonomic neuropathy complications.
- To highlight the mortality and morbidity linked to CAN.
- To emphasize the need for systematic screening and cardiovascular assessment in affected patients.
Summary:
- Diabetic autonomic neuropathy encompasses gastroparesis, neural bladder, and CAN.
- CAN is linked to increased mortality, cardiovascular events, and potentially worsens microangiopathic complications.
- It may also be associated with insulin resistance and poorer kidney disease prognosis.
Impact:
- Highlights the broad impact of diabetic autonomic neuropathy on patient health.
- Underscores the prognostic significance of CAN.
- Advocates for routine screening and targeted cardiovascular evaluation for early intervention.