DOI: 10.36347/sjams.2019.v07i07.069

Pages: 2610-2614

Introduction: The Back ground of this study is increasing number of patients with diabetes in India is currently around 40.9 million and is expected to rise to 101 million by 2030. It is estimated that almost one in six people are currently at risk of developing diabetes related complications. Cardiovascular disease (CVD) is the leading cause of mortality and morbidity in patients with diabetes. Materials and methods: The present study was conducted on 100 middle aged Diabetics attending department of cardiology S.P. Medical College, Bikaner Rajasthan. The patients were divided into two groups, based on age, 36-45yrs and 46-55yrs. Parameters: Resting pulse rate, Deep breathing test, Heart-Rate variation to Valsalva Manoeuver, Heart rate response to standing - Postural Tachycardia Index (PTI) were measured. Results: The mean ± SD of all the parameters above are de-termined and results were analyzed. 1) Changes within the groups before and after the tests were analyzed by paired ‘t’. test. 2) Inter group changes were analyzed by unpaired‘t’ test. Discussion: Involvement of nervous system is a well-known complication of diabetes. Neuropathy is one of the most com-mon complications of diabetes. At an early stage autonomic dysfunction may be asymptomatic or mildly symptomatic. Symptomatic autonomic neuropathy carry worst prognosis, so early diagnosis is essential for maximum benefit. Conclusion: More sympathetic tests have shown significant abnormal responses in diabetics compared to parasympathetic tests.