Abstract:
One of the most overlooked of all serious complications of diabetes is
cardiovascular autonomic neuropathy (CAN), which encompasses damage to the
autonomic nerve fibers that innervate the heart and blood vessels, and causes
denervation resulting in abnormalities in heart rate control and vascular dynamics.The
present report discusses the clinical manifestations resting tachycardia, orthostasis,
exercise intolerance, dizziness in the presence of CAN. It also demonstrates that
autonomic dysfunction can affect daily activities of individuals with diabetes and may
invoke potentially life-threatening outcomes. Advances in technology, built on
decades of research and clinical testing, now make it possible to objectively identify
early stages of CAN with the use of careful measurement of autonomic function and
to provide therapeutic choices that are based on symptom control and that might
abrogate the underlying disord
