Treatment of Diabetic Autonomic Neuropathy in Older Adults with Diabetes Mellitus

2016 ◽  
Vol 31 (11) ◽  
pp. 633-645 ◽  
Author(s):  
Nataliya Scheinberg ◽  
RebeccaL. Salbu ◽  
Gayotri Goswami ◽  
Kenneth Cohen
Keyword(s):  
Diabetes Mellitus ◽  
Older Adults ◽  
Autonomic Neuropathy ◽  
Diabetic Autonomic Neuropathy

scholarly journals A Study of autonomic nervous system dysfunction among patient with diabetes mellitus: a cross sectional study

2017 ◽  
Vol 4 (2) ◽  
pp. 406 ◽  
Author(s):  
Sidheshwar Virbhadraappa Birajdar ◽  
Sheshrao Sakharam Chavan ◽  
Sanjay A. Munde ◽  
Yuvraj P. Bende
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Peripheral Neuropathy ◽  
Autonomic Neuropathy ◽  
Blood Pressure Response ◽  
Pressure Response ◽  
Diabetic Autonomic Neuropathy ◽  
Autonomic Nervous

Background: Neuropathy is a common complication of diabetes mellitus and it may affect both the peripheral nerves and autonomic nervous system. It’s prevalence ranges from 1% to 90%. The present study is therefore designed to investigate autonomic nervous system involvement in diabetes mellitus by using simple bedside tests and to study its association with other diabetic angiopathies.Methods: 100 patients of diabetes mellitus were selected in the study. In Autonomic function tests for evaluating parasympathetic damage E: I ratio, 30:75 ratio and Valsalva ratio test was performed. Sympathetic damage was diagnosed by Blood pressure response to standing test and Blood pressure response to sustained handgrip test.Results: Abnormal E:I ratio was noticed in only 24 patients. The 30:15 ratio was found to be abnormal in 38 patients while the Valsalva Ratio was abnormal in 34 patients. Postural hypotension was observed in only 8% patients. The sustained hand grip test was abnormal in 10 patients. The prevalence of cardiac autonomic neuropathy was 58%. The association between the presence of autonomic neuropathy and peripheral neuropathy was statistically significant. However, the association between autonomic neuropathy and retinopathy and nephropathy was not statistically significant.Conclusions: The overall prevalence of autonomic neuropathy in diabetes mellitus was 58%. There was parasympathetic preponderance over sympathetic nervous system in the involvement of diabetic autonomic neuropathy. There was statistically significant association of diabetic autonomic neuropathy with peripheral neuropathy as compared to retinopathy and nephropathy.

A STUDY ON THE PREVALENCE OF CARDIAC AUTONOMIC NEUROPATHY IN DIABETIC PATIENTS – A HOSPITAL BASED STUDY.

2021 ◽  
pp. 8-11
Author(s):  
Tridip Kumar Das ◽  
Rintu Barman
Keyword(s):  
Diabetes Mellitus ◽  
Autonomic Neuropathy ◽  
Autonomic Function ◽  
Diabetic Autonomic Neuropathy ◽  
Cardiac Autonomic Neuropathy ◽  
Diabetic Patients ◽  
Group Iii ◽  
Duration Of Diabetes ◽  
Group I ◽  
Group Ii

Background: Diabetic Autonomic Neuropathy (DAN) is a serious and common complication of diabetes. Despite its relationship to an increased risk of cardiovascular mortality and its association with the multiple symptoms and impairments, the signicance of diabetic autonomic neuropathy has not been fully appreciated. DAN can manifests in a spectrum of things, ranging from resting tachycardia and xed heart rate (HR) to development of “silent” myocardial infarction.The prevalence of CAN is variable based on published studies and ranges from 2% to 91% in type I diabetes mellitus (T1DM) and 25% to 75% in type 2 diabetes (T2DM). This signicant variability can likely be attributed to the lack of a uniform 2 diagnostic criteria as well as underdiagnosis in the typical hospital setting. Aim And Objectives :To study the prevalence of cardiac autonomic neuropathy in hospital admitted diabetic patients. Materials And Methods : 60 diabetic patients were taken for the study of which 48 were males and 12 were females.The study was carried out in tertiary care teaching hospital in North east India after clearance from institutional ethics committee. Subjects were divided according to duration of diabetes as Group I : 0 – 5 years(24 patients), Group II : 6 – 9 years(24patients), Group II I: 10 years or more(12 patients). Then special interest was taken to nd out cardiac autonomic neuropathy and all the 5 tests were carried out in each of the patients to detect cardiac autonomic neuropathy and were divided into 3 groups. Group I ( normal autonomic function test), group II ( early DAN), group III ( denitive DAN ). Results : In the present study it has been observed that out of 24 (40%) cases of diabetes mellitus in the 0 – 5 year duration group, 4 cases (16.7%) are having autonomic neuropathy, out of 24 cases in the duration group 6 – 9 years, 10 cases (41.7%) are having autonomic neuropathy and in the duration group ≥ 10 years, 8 cases out of 12 (66.7%) showing neuropathy. In the present study prevalence of diabetic autonomic neuropathy out of 60 number of patients taken it was seen as: 38 cases (63.3%) with normal autonomic function tests placed in group I, 12 cases (20%) with only cardiac parasympathetic damage or early DAN were placed in group II and 10 cases (16.7%) with both cardiac parasympathetic and sympathetic damage or denitive DAN were placed in group III. So out of 60 diabetic patients, 22 patients (36.7%) showed abnormal cardiovascular reex in the present study. Conclusion: It has been observed from the present study that duration of diabetes mellitus is directly proportional to development of cardiac autonomic neuropathy.

2161-PUB: Determinants of Digital Divide among Older Adults with Diabetes Mellitus

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 2161-PUB
Author(s):  
SUNHEE PARK
Keyword(s):  
Diabetes Mellitus ◽  
Older Adults ◽  
Digital Divide

Relationship between the circadian rhythms of blood pressure and sympathovagal balance in diabetic autonomic neuropathy

Diabetes ◽  
1993 ◽  
Vol 42 (12) ◽  
pp. 1745-1752 ◽  
Author(s):  
V. Spallone ◽  
L. Bernardi ◽  
L. Ricordi ◽  
P. Solda ◽  
M. R. Maiello ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Circadian Rhythms ◽  
Autonomic Neuropathy ◽  
Diabetic Autonomic Neuropathy ◽  
Sympathovagal Balance
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