Diabetic autonomic neuropathy
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Complications and Prognosis
Screening and Prevention
Maintain optimal glycemic control; minimize cardiovascular risk factors
For obese patients, weight loss is beneficial for overall diabetes management and has been shown to reverse progression of cardiac autonomic neuropathyr60r61 as well as incontinence associated with overactive bladderr31
Exercise training r6c156c157
Physiologic maneuvers to mitigate effects of orthostatic hypotension
Dietary modification including frequent small meals, low in fat (less than 40 g/day)r54 and fiber, may relieve symptoms of gastroparesis r8c164c165c166
Behavioral modifications may be helpful for patients with bladder dysfunction, including the following: r7
Other bladder management techniques r7
Vacuum devices for erectile dysfunction r63
Patients with extensive anhidrosis should be educated about risks of hyperthermia and heat stroke r54c176
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