Diabetic autonomic neuropathy What is diabetes?

Diabetic neuropathy, as one of the most common complications of diabetes, affects many people. Autonomic neuropathy, as a major category of neuropathy, causes great trouble to many patients. Because autonomic neuropathy is characterized by multiple systems and multiple organs, it is possible that one symptom is not very typical, but several symptoms are superimposed together, which has a great impact on the quality of life. First, it must be hypoglycemic drugs. The first-line treatment is metformin. The second-line treatment is acarbose and sensitizers. These are the first drugs. The neurotrophic drugs, the classic one is vitamin b12, which is mecobalamin. Others include epalstat, vitamin k2, etc., which are helpful for improving the nervous system. In addition to these two basic drugs, the most important thing left is a symptomatic treatment, such as in the digestive system, constipation, diarrhea, nausea, vomiting, laxatives can be used to treat constipation, antidiarrheal drugs to treat diarrhea, vitamin b6 to treat nausea and vomiting, etc. If urine retention occurs, dysuria can be treated with neostigmine. If frequent palpitations occur, beta blockers, such as metoprolol, bisoprolol, etc., can be used as much as possible. For patients with orthostatic hypotension, a certain dose of hormones, such as cortisone, can help relieve symptoms. Therefore, the medication for diabetic autonomic neuropathy, on the basis of nutritional nerves and hypoglycemic drugs, is mainly a targeted, specialized and individualized symptomatic treatment plan for each system.