A peripheral neuropathy characterized by a broad array of disease processes that can alter the function of the autonomic nervous system (ANS)
Effects can be acute, subacute, or chroni...
Orthostatic light-headedness or syncope
Early satiety, nausea, postprandial vomiting
Hyperhidrosis or anhidrosis
Gustatory (with meals) sweating
"Three Pillars" of treating autonomic neuropathy include disease modifying therapy (when possible), dietary and behavioral changes, and symptomatic management (2).
G90.9 Disorder of the autonomic nervous system, unspecified
E11.43 Type 2 diabetes w diabetic autonomic (poly)neuropathy
E10.43 Type 1 diabetes w diabetic autonomic (poly)neuropathy
Autonomic effects are often subclinical in peripheral neuropathies.
A resting HR of >90 beats/min, especially if persistent, should increase concern for autonomic neuropathy.
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