Dysfunction of autonomic nervous system affects up to 30% of patients with diabetes mellitus after 10 to 15 years. The autonomic neuropathy, especially cardiovascular autonomic neuropathy has a broad influence on the course and the prognosis of patients. Non-invasive cardiovascular reflex tests and tests of sudomotor control allow to diagnose autonomic dysfunction before the patients develop a symptomatic autonomic neuropathy. There is evidence that deterioration of autonomic dysfunction can be prevented and autonomic function even improves with good metabolic control e.g. by means of insulin infusion systems. This manuscript describes cardio-vascular and sudomotor function tests as well as two batteries of tests used for evaluation and classification of cardiovascular autonomic neuropathy.
|Translated title of the contribution||Diabetic autonomic neuropathy: Cardiovascular and peripheral autonomic findings|
|Number of pages||7|
|State||Published - Dec 1998|
- Diabetic autonomic neuropathy
- Heart rate variability
- Thermoregulatory dysfunction