الفهرس | Only 14 pages are availabe for public view |
Abstract This study aiming to: 1- Further characterization of this common disabling complication of diabetes. 2- Investigate the prevalence of diabetic autonomic neuropathy as defined by simple non-invasive bed-side tests in a selected population with diabetes. 3- Assess both peripheral and autonomic nerve function and their relation to duration and level of diabetic control. 4- Throw further light on the relationship of the severity of neuropathy to the duration of diabetes and age of the patient. 5- Establish the relation between somatic and autonomic neuropathy. 6- Examine the relationship between nerve conduction parameters and the clinical picture. In conclusion, it is obvious from the results of the present study that: 1- Electrophysiological studies are important to detect nerve abnormalities, early before the appearance of clinical manifestations. These mild abnormalities are certainly easier to treat when discovered early, thus minimize disabilities of diabetic peripheral neuropathy. 2- Autonomic neuropathy is less prevalent than somatic neuropathy in diabetics, and often occurs on top of advanced somatic neuropathy. 3- The duration of diabetes as well as the level of control is the most important factors in the development of diabetic peripheral as well as autonomic neuropathies. 4- Hyperglycemia has a deleterious effect on peripheral nerve function. |