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Q: Autonomic Neuropathy
asked by: carolspeight on January 19th, 2004
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I have a diabetic sister who was diagnosed with autonomic neuropathy over a year ago. She's been in and out of the hospital with a number of problems such as gastroparesis, gallbladder removal, gangrene appendix removal, bleeding ulcers, hypoglycemic episodes...And more. Her diabetes is out of control, and she was recently put on an insulin pump and ace inhibitors. She was told she has tachycardia and orthostatic hypotension. My question to you is "what can I do or say to her that might scare her a little, because she is not taking proper care of herself?" maybe something regarding mortality statistics, for those with autonomic neuropathy. Any suggestions or information will be greatly appreciated.
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Dr. Nikola
replied on April 14th, 2008
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What do you mean by that "she is not taking proper care of herself"?
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carolspeight
replied on April 14th, 2008
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Autonomic Neuropathy
She eats what she wants, when she wants (i.e. white cheddar popcorn for lunch,etc.). She just had her second toe amputation and has been informed that she has what they call "charcoat's foot" (sp?). She doesn't listen to our advice, but my hope is that she would if I could get someone else's opinion who may be better informed of all of the same ailments she is experiencing. I feel she just thinks nothing will happen to "her".

Thanks for your response.
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Dr. Nikola
replied on April 15th, 2008
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Diabetes therapy
Diet and proper life stile are very important in treating diabetes, beside medications.
Can you give me some more information from her medical history:
1. age and duration of the disease;
2. additional disorders beside diabetes (heart, kidneys, overweight...);
3. list of the medications she takes;
4. laboratory results (if there are any) for: blood sugar, triglycerides, cholesterol, urea, creatinin...
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Yolita
replied on April 28th, 2008
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Autonomic Neuropathy
I am a diabetic originally diagnosed as type 1 because of age at time of diagnosis (I was 11 yrs. old) I didn't follow my diet and took insulin only sporadically for about 4 of the 23 years since diagnosis,so now they say that I was a type 2 diabetic because at the time of diagnosis I weighed 232 lbs. Diabetes Educator says if I was a type 1 diabetic I would have been dead within 1 year of not taking insulin.Heres the situation,I was diagnosed with high blood pressure in 2000 and was put on an ACE Inhibitor,I started taking insulin through an insulin pump about 2 weeks ago,(because my A1C was still 7.6 even on Lantus insulin taken everyday for 1 1/2 years) since starting the pump my blood sugars have been wonderful,usually no more than 150 mg/dl. I was diagnosed earlier with Autonomic Neuropathy,Blood Pressure dropping upon standing(while taking BP meds),and also dumping syndrome,diarrhea after every meal.Since getting my blood sugars under control,I don't have the dumping syndrome anymore and I don't need BP meds anymore.And I've actually lost 8 lbs. in 11 days(since getting my pump) My question is this,Is it possible for Autonomic Neuropathy to correct itself with better blood sugar control? Thank You for any responses to this question.
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pranu
replied on August 23rd, 2008
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Autonomic Neuropathy
Dear Yolita,
There are various diseases and disorders contributing autonomic neuropathy/autonomic dysfunction. But it is more prevelant in diabetic cases and we call it as Diabetic autonomic neuropathy. Maintaining proper blood sugar level neuro vitamins will help us in reversing the severity of DAN or atleast quits the progression in advance stages of DAN. In few cases there are various other factors contributing with Diabetes, in such cases maintaing proper blood sugar levels will not help us and we need to screen the patients for various other factors to treat accordingly.
A current study is going on with a new device "ANSiscope" which detects autonomic dysfunction before the symptoms occurs. In this study we are able to observe that the severity of DAN reverses step by step and the progression stops very soon if proper blood sugar levels are maintained.
I would recommend you to take a quantitative assessment of DAN (once in three months) with a equipment like ANSiscope to know your health condition. You may a look in to the following link and consult your doctor regarding this.
http://www.dyansys.com/ans.php
I wish you a very happy and healthy life.

Regards
Pranesh
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Just curious
replied on August 23rd, 2008
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Neuropothy in the breast and back.
My aunt has recently started having terrific pain in her breast and in her back. The doctor told her it was due to her diabetis and was neuropothy. She has experienced this in her feet a few years back but that is gone now. We were unaware that neuropothy would be anywhere but the feet. Is there literature she can find on neuropotho of the breast?
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