Diabetic Autonomic Neuropathy

Aka: Diabetic Autonomic Neuropathy, Autonomic Neuropathy in Diabetes

advertisement

II. Background

  1. Subtype of Diabetic Neuropathy
  2. Affects sympathetic, parasympathetic and enteric nerves

III. Epidemiology

  1. Most common in >20 years of poor glycemic control

IV. Cardiovascular Autonomic Neuropathy

  1. Orthostatic Hypotension
  2. Exercise intolerance
  3. Syncope
  4. Prolonged QT interval on Electrocardiogram
  5. Evaluate Heart Rate variability and stress test

V. Gastrointestinal Autonomic Neuropathy

  1. Altered bowel habits (Diarrhea or Constipation)
  2. Gastric atony (Dysphagia, bloating, Nausea)
  3. Fecal Incontinence

VI. Genitourinary Autonomic Dysfunction

  1. Bladder dysfunction
    1. Urinary Incontinence
    2. Urinary Frequency
  2. Sexual Dysfunction
    1. Erectile Dysfunction
    2. Loss of libido
    3. Anorgasmia
    4. Dyspareunia (associated with Vaginal Dryness)

VII. Miscellaneous autonomic symptoms

  1. Unaware of hypoglycemic episodes
  2. Abnormal pupil function
  3. Sudomotor Neuropathy (Sweat Gland dysfunction)
    1. Dry, pruritic skin
      1. Extremity Hair Loss

VIII. Differential Diagnosis

  1. See Autonomic Neuropathy

IX. References

  1. Vinik (2003) Diabetes Care 26:1153-79 [PubMed]

Images: Related links to external sites (from Bing)

These images are a random sampling from a Bing search on the term "Diabetic Autonomic Neuropathy." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images

Related Studies (from Trip Database) Open in New Window

Ontology: Diabetic Autonomic Neuropathy (C0271686)

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, ﾄｳﾆｮｳﾋﾞｮｳｾｲｼﾞﾘﾂｼﾝｹｲﾆｭｰﾛﾊﾟﾁｰ
Czech Diabetická autonomní neuropatie, diabetická autonomní neuropatie
Hungarian Diabeteses autonom neuropathia
Norwegian Diabetisk autonom nevropati
Dutch diabetische autonome neuropathie, Diabetische autonome neuropathie
Derived from the NIH UMLS (Unified Medical Language System)

Related Topics in Neurology

advertisement

2019 Family Practice Notebook, LLC. Terms | Privacy (EHS) | About | Site Map | Blog

Footer Site Logo