While early detection is essential, it usually goes undetected because it diminishes patients' sensitivity to pain. David Armstrong, DPM, believes that physicians need to re-emphasize patient education on this potentially fatal condition. Dr. Armstrong advises his patients of the foot-related problems that autonomic neuropathy causes, such as changes in their skin's viscoelasticity. He urges patients to inspect their feet for fissures, skin breakdown and infection. By empowering the patients with knowledge, Kenneth Rehm, DPM, says you give them the ability to make wise decisions and take responsibility for their own health care.
Some diagnostic tests are out there.
Dr. Armstrong uses a non-invasive procedure called the heart rate variability test. Dr. Rehm notes that you can also use digital autonomic nervous monitoring, but he says this test is still relatively new. Until then, Dr. Rehm advocates standard preventive measures, such as emphasizing good blood sugar control to patients. He says it's also important to closely monitor nerve diseases caused by diabetes, as well as patients' cardiovascular and endocrine systems. If you want to place an order or ask questions about a particular product, there's a helpful Customer Service link that offers both offline and online contact information.