Cardiac Autonomic Neuropathy and Microalbuminuria in Type 2 Diabetes Mellitus- A Cross-Sectional Analysis

BACKGROUND neuropathy is one of the least focused complications of type 2 diabetes mellitus in clinical practice. CAN is a cause of morbidity and mortality associated with a high risk of cardiac arrhythmias and sudden death. Higher urinary excretion has been suggested as a predicting diabetic nephropathy. This cross-sectional study sought to determine of CAN with early renal decline in type 2 diabetes mellitus. AND METHODS a period of two years, patients with type 2 diabetes mellitus after careful exclusion of other risk factors for proteinuria, 199 patients were included in this cross-sectional survey. CAN was measured by portable ANSiscope and 24-hour urine level was estimated. Correlation was sought between the two variable. of the 199 patients chosen for the study, 127 were male. The mean age of diabetes was 6.4±3.9 years. 57.8% had late or CAN and there was a significant linear correlation with 24-hour urine microalbumin levels. of CAN is an effective way to assess the level of cardiac sympathetic dysfunction due to disease in patients with 2 diabetes mellitus of more than 5 years duration. Urine microalbumin levels correlate with the degree of CAN. There is a need to conduct more studies about CAN to fully understand its pathology and develop treatment strategies to reduce mortality.