Definition: Autonomic neuropathy occurs when the nerves that control involuntary bodily functions are damaged. This may affect blood pressure, temperature control, digestion, bladder function and even sexual function. The nerve damage interferes with the messages sent between the brain and other organs and areas of the autonomic nervous system, such as the heart, blood vessels and sweat glands. While diabetes is generally the most common cause of autonomic neuropathy, other health conditions even an infection, may be to blame. Some medications also may cause nerve damage.
Symptoms and Treatment: Symptoms vary depending on the nerves affected. They usually develop gradually over years.
Symptoms may include: Constipation (hard stools), Diarrhea (loose stools), Feeling full after only a few bites (early satiety), Nausea after eating, Problems controlling bowel movements, Swallowing problems, Swollen abdomen, Vomiting of undigested food, Abnormal heart rate or rhythm, Blood pressure changes with position and causes dizziness when standing, High blood pressure, Shortness of breath with activity or exercise, Difficulty beginning to urinate, Feeling of incomplete bladder emptying, Leaking urine, Sexual problems including erection problems in men and vaginal dryness and orgasm difficulties in women, Small pupil in one eye, Weight loss without trying. Treatment to reverse nerve damage is most often not possible. As a result, treatment and self-care are focused on managing your symptoms and preventing further problems. Doctor may recommend: Extra salt in the diet or taking salt tablets to increase fluid volume in blood vessels, Fludrocortisone or similar medications to help your body retain salt and fluid, Medicines to treat irregular heart rhythms, Pacemaker, Sleeping with the head raised, Wearing elastic stockings.
Statistics: In Germany statistical analysis were resulted as several studies have shown a protective effect of residual β-cell function (i.e., C-peptide levels) on the development and incidence of microvascular complications (including CAN) in patients with T1DM. The exact mechanisms for these associations are not clear but it is thought that the C-peptide activates Na/K channels, lowers inflammation and improves NO bioavailability and endothelial function. Small RCTs have shown beneficial effect of C-peptide treatment on CAN parameters.