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Diabetes mellitus and heart disease frequently are fellow travelers. Each impinges on the clinical expression and treatment of the other. Commonly, myocardial infarction in diabetes is undiagnosed because it is painless or nearly so as a result of diminished visceral sensation due to autonomic neuropathy. However, myocardial infarction is a common stress factor that unmasks previously undetected hyperglycemia.
There are many other impingements of heart disease or
its treatment on diabetes or its treatment, and vise versa: 1) severe postural hypotension in diabetic autonomic neuropathy provoked by nitrites, diuretics, quinidine, and guanethidine; 2) cardiorespiratory arrest in diabetic autonomic neuropathy provoked
Clinical Cardiology and Diabetes.. Ann Intern Med. ;94:717–718. doi: 10.7326/0003-4819-94-5-717_4
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Published: Ann Intern Med. 1981;94(5):717-718.
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