Investigation of the vegetative or autonomic nervous system

With the help of simple tests, the cardiovascular system responses of heart rate and blood pressure can be used for the diagnosis of cardiovascular neuropathy. These tests (analysis of heart rate in paced breathing, modified Ewingtest, Valsalva maneuver Press, orthostatic test) can all be performed by a simple ECG device, a stopwatch and a blood pressure monitor. Initial tests for further computer-controlled devices are needed.
If the results of two or more tests are not lying in the standard, then the diagnosis of diabetic autonomic neuropathy are provided. Blood glucose levels will help confirm diabetes.

First signs of autonomic diabetic neuropathy can be determined by reducing the variation in heart rate or by reducing the natural rhythm of change in breathing.

In advanced stages, an increase in heart rate at rest or a heart rate over 100 at rest (tachycardia) can be noted. Also, a strong drop in blood pressure occurs when changes in position from sitting or lying to standing on (orthostatic hypotension), which can cause dizziness and loss of consciousness. The changes in heart rate can lead to a rigidity in the final stage of heart rate if blood sugar is increased.

The neuropathy of the heart (cardiovascular autonomic neuropathy) is considered the leading symptom for the whole complex of symptoms of nervous disorders of the involuntary nervous system (autonomic neuropathy). Therefore, the simple tests used in the diagnosis of neuropathy of the heart as a reference for possible further damage to nerves of the autonomic nervous system can be carried out.

Manifestation and symptoms of diabetic autonomic nerve disorder
1. Cardiovascular system:
Constantly increased heart rate at rest

Blood pressure and dizziness when standing up
2. Esophagus, stomach:
Dysphagia, nausea, vomiting, bloating, hypoglycemia after meals
3. Small intestine:
Diarrhea, mostly at night
4. Colon:
Constipation, flatulence, bloating
5. Urinary and reproductive organs:
Loss of bladder sensation with late onset of urinary urgency

Bubble trap

Weak urine stream
6. Hormone:
Reduced or absent awareness of hypoglycemia by the lack of counter-regulation
7. Pupil:
Pupillary reflexes
8. Sweat:
Dry, cracked skin

Increased sweating during meals
9. Foot:
Neuropathic ulcer

Swelling

Deformity and loss of bone

Of all board investigations, it is important to note the cause of many diseases of an organ-like symptoms such as a vegetative neuropathy that complicate the diagnosis. In addition, the ingestion of drugs and age may be taken into account.

Regarding the complaints of the autonomic nervous system, it is important to interview each patient specifically. The current diabetes control, including control of the blood and the HbA1c value should always be taken into account.