علاج اعتلال الأعصاب السكري في انخفاض ضغط الدم الانتصابي

References

DOI: 10.2337/dc16-2042

Advanced disease may also be associated with orthostatic hypotension (a fall in systolic or diastolic blood pressure by >20 mmHg or >10 mmHg, respectively, upon standing without an appropriate increase in heart rate).

Physical activity and exercise should be encouraged to avoid deconditioning, which is known to exacerbate orthostatic intolerance.

Volume repletion with fluids and salt is central to the management of orthostatic hypotension.

Low-dose fludrocortisone may be beneficial in supplementing volume repletion in some patients, although there are growing concerns on risk of supine hypertension.