Diagnosis and Management of Diabetic Autonomic Neuropathy / 임상당뇨병
Journal of Korean Diabetes
;
: 160-167, 2018.
Article
Dans Coréen
| WPRIM
| ID: wpr-726699
ABSTRACT
Diabetic autonomic neuropathy (DAN) is a serious and common complication of diabetes, although it is often overlooked. Abnormal autonomic function tests are often found in peoples with diabetic peripheral neuropathy. Autonomic neuropathies affect the autonomic neurons (parasympathetic, sympathetic, or both) and are associated with a variety of site-specific symptoms. The symptoms and signs of DAN should be elicited carefully during the medical history and physical examination. Major clinical manifestations of DAN include hypoglycemia unawareness, resting tachycardia, orthostatic hypotension, gastroparesis, constipation, diarrhea, fecal incontinence, erectile dysfunction, neurogenic bladder, and sudomotor dysfunction with either increased or decreased sweating. When a patient has signs and symptoms of DAN, various autonomic function tests should be performed. Recognition and management of DAN may improve symptoms, reduce sequelae, and improve quality of life. Clinically relevant diabetic autonomic neuropathies such as cardiovascular, gastrointestinal, genitourinary, and sudomotor dysfunction should be considered in the optimal care of patients with diabetes. The present review summarizes the latest knowledge regarding clinical presentation, diagnosis, and management of DAN.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Examen physique
/
Qualité de vie
/
Sueur
/
Sudation
/
Tachycardie
/
Vessie neurologique
/
Neuropathies périphériques
/
Gastroparésie
/
Constipation
/
Neuropathies diabétiques
Type d'étude:
Etude diagnostique
Limites du sujet:
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Journal of Korean Diabetes
Année:
2018
Type:
Article
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