4.8.3.0 Au­to­nom­ic Neu­ropa­thy

Au­to­nom­ic neu­ropa­thy can in­crease the risk of ex­er­cise-induced in­jury or ad­verse events through de­creased car­diac re­spon­siveness to ex­er­cise, pos­tu­ral hy­poten­sion, im­paired ther­moreg­u­la­tion, im­paired night vi­sion due to im­paired pap­il­lary re­ac­tion, and greater sus­cep­ti­bil­i­ty to hy­po­glycemia (161). Car­dio­vas­cu­lar au­to­nom­ic neu­ropa­thy is also an in­de­pen­dent risk fac­tor for car­dio­vas­cu­lar death and silent my­ocar­dial is­chemia (162). There­fore, in­di­vid­u­als with di­a­bet­ic au­to­nom­ic neu­ropa­thy should un­der­go car­diac in­ves­ti­ga­tion be­fore be­gin­ning phys­i­cal ac­tiv­i­ty more in­tense than that to which they are ac­cus­tomed.