Abstract：
This article summarizes the latest epidemiology of diabetic autonomic neuropathy (DAN), and provides a brief overview on epidemiology, current outcomes measures for screening and diagnosis in research and clinical settings, the latest evidence on effective management, and novel perspectives on the impacts of social determinants of health in development and management of DAN. Among the various forms of diabetic neuropathy, distal symmetric polyneuropathy and diabetic autonomic neuropathies, particularly cardiovascular autonomic neuropathy, are by far the most studied. However, emerging data highlight the impact of other forms of autonomic neuropathies such as gastrointestinal and urogenital autonomic neuropathies, on healthcare and patients\' reported outcomes [1].
摘要：
本文总结了糖尿病自主神经病变（DAN）的最新流行病学，并简要概述了流行病学，研究和临床环境中筛查和诊断的当前结果指标，关于有效管理的最新证据，以及关于健康的社会决定因素对DAN发展和管理的影响的新观点。在各种形式的糖尿病性神经病中，远端对称性多发性神经病和糖尿病自主神经病变，尤其是心血管自主神经病变，是迄今为止研究最多的。然而,新出现的数据强调了其他形式的自主神经病变的影响，如胃肠道和泌尿生殖自主神经病变，关于医疗保健和患者报告的结果[1]。
