advertisement
 

  Back to Ask the Diabetes Team Ask the Diabetes Team
Question:

From St. Petersburg, Russia:

I have had type 1 diabetes for 28 years, my control is reasonable (last hemoglobin A1c was 7.4%), and except for more and more problems with recognizing hypoglycemia and some microalbuminuria, I am doing okay. However, recently I noticed that my heart rate at rest rarely goes below 90 (it used to be between 60 and 70). What is this?

Answer:

The autonomic nervous system has control of the pacemaker of the heart. There is a sympathetic innervation and a parasympathetic innervation. When neuropathy occurs, one of the manifestations can be loss of parasympathetic innervation into the pacemaker of the heart. This leaves an individual with unopposed sympathetic innervation and an increased resting heart rate.

Other things to check would include an electrocardiogram, in order to rule out a primary irregular heart rhythm. I would also make sure you do not have any silent injury to the heart from undiagnosed coronary artery disease. This can be screened with an electrocardiogram but would be better tested by performing an exercise stress test. Another thing to rule out is hyperthyroidism.

JTL

DTQ-20010817035512
Original posting 28 Aug 2001
Posted to Complications and Thyroid

  
advertisement


                 
  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:09:26
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.