I have had type 1 diabetes for 37 years now,knew about neuropathy and all other possible complications,but had never heard of autonomic neuropathy,until i was diagnosed 7 years ago with severe cardiovascular autonomic neuropathy,the damage has already been done,due to many years of uncontrolled diabetes(not my fault,i was classed as a brittle diabetic,and even went into dka whilst in a controlled situation as an inpatient!)
I have been told that i can maybe improve my symptoms,but that it cannot be reversed,like normal neuropathy can,i am on an insulin pump and cgm,and my control is now very good,but damage already done,i have no hypo awareness,neurogenic bladder,meaning i am catheterised,my blood pressure is high one minute and bottoms out the next,my body struggles to regulate blood pressure now,and my heart is affected along with a host of other issues,i do the best i can on a daily basis,some good,some very bad
There is plenty of information out there regarding diabetic neuropathy,but hardly anything about autonomic neuropathy,as the two are different
My specialist said not much is known about autonomic neuropathy,they are still very much leaning to understand it,i just wish more information was passed onto patients,other than the usual things to look for