Autonomic neuropathy in diabetes mellitus: a follow-up study.

Abstract:

:To evaluate the development of autonomic neuropathy, 23 patients with a moderate (group A) and 18 patients with a long (group B) duration of diabetes and without symptoms of autonomic neuropathy were re-investigated 6 yr after the initial studies. Autonomic nerve function was evaluated from heart reactions to deep breathing (E/I ratio) and to a rapid 90 degrees tilt (acceleration and brake indices). Symptoms of autonomic neuropathy (SAN) developed in 18 patients (nine in each group) who showed a low mean E/I ratio and brake index in both studies. In group A, but not in group B, patients with SAN showed a decrease in the acceleration index and most SAN patients (8/9) in group A had an abnormal acceleration index in the follow-up study. We conclude that in both groups SAN developed rapidly and was preceded by decreases in E/I ratio and brake index.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Sundkvist G,Lilja B

doi

10.2337/diacare.8.2.129

subject

Has Abstract

pub_date

1985-03-01 00:00:00

pages

129-33

issue

2

eissn

0149-5992

issn

1935-5548

journal_volume

8

pub_type

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