Severe diabetic autonomic neuropathy in a young female patient with type 1 diabetes mellitus: a case report
- Authors: Volkova A.R.1, Khalimov Y.S.1, Chernaya M.E.1, Lisker A.V.1, Ostroukhova E.N.1, Orlovskaya A.D.1
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Affiliations:
- Pavlov First Saint Petersburg State Medical University
- Issue: Vol 32, No 8 (2025)
- Pages: 112-118
- Section: Articles
- URL: https://ogarev-online.ru/2073-4034/article/view/365708
- DOI: https://doi.org/10.18565/pharmateca.2025.8.112-118
- ID: 365708
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Abstract
This clinical case report aims to expand our understanding of the clinical features of various forms of autonomic neuropathy in type 1 diabetes mellitus. This review describes a combination of various forms of diabetic autonomic neuropathy in a young female patient with type 1 diabetes mellitus who had inadequate glycemic control throughout the disease course. Due to the long-term impact of the neuropathy on the functioning of various internal organs, the patient developed independent disorders affecting the cardiovascular, urinary, and gastrointestinal systems. Autonomic neuropathy, in turn, led to deterioration of glycemic control, which worsened the course of diabetes complications and created a «vicious cycle».
About the authors
Anna R. Volkova
Pavlov First Saint Petersburg State Medical University
Email: volkovaa@mail.ru
ORCID iD: 0000-0002-5189-9365
Dr. Sci. (Med.), Professor, Department of Therapy, Faculty of Medicine with a Course in Endocrinology, Cardiology, and the G.F. Lang Clinic
Russian Federation, Saint PetersburgYury Sh. Khalimov
Pavlov First Saint Petersburg State Medical University
Email: yushkha@gmail.com
ORCID iD: 0000-0002-7755-7275
Dr. Sci. (Med.), Professor, Honored Doctor of the Russian Federation, Chief Endocrinologist of the Healthcare Committee of the Government of St. Petersburg, Chief Endocrinologist of the Ministry of Defense of the Russian Federation, Head of the Department of Faculty Therapy with a Course in Endocrinology, Cardiology and the G.F. Lang Clinic
Russian Federation, Saint PetersburgMaria E. Chernaya
Pavlov First Saint Petersburg State Medical University
Email: mashaeatworld@gmail.com
ORCID iD: 0000-0001-6567-6990
Cand. Sci. (Med.), Assistant Professor, Department of Faculty Therapy with a Course in Endocrinology, Cardiology and the G.F. Lang Clinic
Russian Federation, Saint PetersburgAnna V. Lisker
Pavlov First Saint Petersburg State Medical University
Email: a.lisker@mail.ru
ORCID iD: 0000-0003-4295-1202
Head of the Endocrinology Department
Russian Federation, Saint PetersburgElena N. Ostroukhova
Pavlov First Saint Petersburg State Medical University
Email: elenikos9@gmail.com
ORCID iD: 0000-0002-6542-7959
Cand. Sci. (Med.), Associate Professor, Department of Faculty Therapy with a Course in Endocrinology, Cardiology and the G.F. Lang Clinic
Russian Federation, Saint PetersburgAnastasia D. Orlovskaya
Pavlov First Saint Petersburg State Medical University
Author for correspondence.
Email: nastyeagle@yandex.ru
ORCID iD: 0000-0003-2574-6418
Endocrinologist, Clinic of the Scientific and Clinical Center of Endocrinology
Russian Federation, Saint PetersburgReferences
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