II. Background
- Subtype of Diabetic Neuropathy
- Affects sympathetic, parasympathetic and enteric nerves
III. Epidemiology
- Most common in >20 years of poor glycemic control
IV. Cardiovascular Autonomic Neuropathy
- Orthostatic Hypotension
- Exercise intolerance
- Syncope
- Prolonged QT interval on Electrocardiogram
- Evaluate Heart Rate variability and stress test
V. Gastrointestinal Autonomic Neuropathy
- Altered bowel habits (Diarrhea or Constipation)
- Gastric atony (Dysphagia, bloating, Nausea)
- Fecal Incontinence
VI. Genitourinary Autonomic Dysfunction
- Bladder dysfunction
-
Sexual Dysfunction
- Erectile Dysfunction
- Loss of libido
- Anorgasmia
- Dyspareunia (associated with Vaginal Dryness)
VII. Miscellaneous autonomic symptoms
- Unaware of hypoglycemic episodes
- Abnormal pupil function
- Sudomotor Neuropathy (Sweat Gland dysfunction)
- Dry, pruritic skin
- Extremity Hair Loss
- Dry, pruritic skin
VIII. Differential Diagnosis
IX. References
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Related Studies
Concepts | Disease or Syndrome (T047) |
MSH | D003929 |
SnomedCT | 50620007 |
Italian | Neuropatia autonomica diabetica |
English | Autonomic neuropathy-diabetes, diabetes mellitus with autonomic neuropathy (diagnosis), diabetes mellitus with autonomic neuropathy, diabetic autonomic neuropathy, Autonomic Neuropathies, Diabetic, Autonomic Neuropathy, Diabetic, Diabetic Autonomic Neuropathies, Neuropathies, Diabetic Autonomic, Neuropathy, Diabetic Autonomic, autonomic diabetic neuropathy, Diabetic autonomic neuropathy, Autonomic neuropathy due to diabetes, Diabetic autonomic neuropathy (disorder), Diabetic Autonomic Neuropathy |
Portuguese | Neuropatia Autônoma Diabética, Disautonomia diabética |
Spanish | Neuropatía Autónoma Diabética, neuropatía autonómica diabética (trastorno), neuropatía autonómica diabética, Neuropatía autonómica diabética |
French | Neuropathie diabétique autonome |
German | Diabetische autonome Neuropathie, diabetische autonome Neuropathie |
Japanese | 糖尿病性自律神経ニューロパチー, トウニョウビョウセイジリツシンケイニューロパチー |
Czech | Diabetická autonomní neuropatie, diabetická autonomní neuropatie |
Hungarian | Diabeteses autonom neuropathia |
Norwegian | Diabetisk autonom nevropati |
Dutch | diabetische autonome neuropathie, Diabetische autonome neuropathie |