Christoph Garner.
KWA-Klinik Stift Rottal, Bad Griesbach, Germany.
christoph.garner@t-online.de

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Abstract

Neurogenic complications are common symptoms in diabetes mellitus as well in type I as in type II. Macro- and microvascular changes as well as autonomic neuropathy may be distinguised. On the macrovascular side the risk for arteriosclerosis and following myocardial infarction, stroke or peripheral arterial occlusiv disease is significantly enhanced. On the microvascular side polyneuropathy and autonomic neuropathy causing numbness and pain in feet as well as loss of cardiac rhythm variability may be encountered.
Diagnosis of the neurogenic complications is based on ultrasonic doppler investigation of the neck vessels concerning the risk for arteriosclerosis and on clinical (testing sensitivity and vibration threshold) and electrophysiological measurements (EMG, NCV) concerning diabetic neuropathy.
Holistic therapy is primarily based on reducing elevated blood sugar levels using e.g. diet with controlled intake of carbohydrats, drugs and ayurvedic procedures. Various Yoga-techniques are helping to lower the stress level and so lower the blood sugar level. Homoeopathic and ayurvedic drugs are helpful to control neurological symptoms like pain, vertigo and numbness.