The influence of autonomic dysfunction associated with aging and type 2 diabetes on daily life activities.

Experimental Diabetes Research
Jerrold PetrofskyHani Al-Nakhli

Abstract

Type 2 diabetes (T2D) and ageing have well documented effects on every organ in the body. In T2D the autonomic nervous system is impaired due to damage to neurons, sensory receptors, synapses and the blood vessels. This paper will concentrate on how autonomic impairment alters normal daily activities. Impairments include the response of the blood vessels to heat, sweating, heat transfer, whole body heating, orthostatic intolerance, balance, and gait. Because diabetes is more prevalent in older individuals, the effects of ageing will be examined. Beginning with endothelial dysfunction, blood vessels have impairment in their ability to vasodilate. With this and synaptic damage, the autonomic nervous system cannot compensate for effectors such as pressure on and heating of the skin. This and reduced ability of the heart to respond to stress, reduces autonomic orthostatic compensation. Diminished sweating causes the skin and core temperature to be high during whole body heating. Impaired orthostatic tolerance, impaired vision and vestibular sensing, causes poor balance and impaired gait. Overall, people with T2D must be made aware and counseled relative to the potential consequence of these impairments.

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Citations

Sep 1, 2012·Diabetes Technology & Therapeutics·Jerrold S PetrofskyPaula Cavalcanti
May 15, 2013·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Jerrold Scott PetrofskyJoshua Andrade
Aug 7, 2013·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Jerrold PetrofskyRakhi Save
Feb 21, 2013·Neurochemical Research·Taína ScheidWania A Partata
Apr 2, 2013·Medicine and Science in Sports and Exercise·Glen P KennyRonald J Sigal
Feb 5, 2013·Medical Hypotheses·Fred H Previc
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Nov 30, 2019·Journal of Diabetes Research·Luuk A de WertNicole D Bouvy
Oct 9, 2021·International Journal of Biometeorology·Ersin Odabasi, Mustafa Turan

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Methods Mentioned

BETA
glycosylation

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