Sara, age 40, has diabetes and is now experiencing anhidrosis on the hands and feet, increased sweating on the face and trunk, dysphagia, anorexia, and heartburn. Which complication of diabetes do you suspect?

Visceral neuropathies

Explanation:

This is also known as autonomic neuropathies.

It deals with lack of proper functioning of the nerves that control involuntary muscles.The nerves affected are the ones which control blood pressure, heart rate, temperature and digestion. These are vital metabolic processes and makes this complication a serious one which is why it gives rise to lots of symptoms.

They include :

Anhidrosis(inability to sweat)on the hands and feet

Increased sweating on the face and trunk

Dysphagia

Anorexia

Heartburn

Constricted pupils

Constipation

Diabetic diarrhea.

personal-

communication, mobility, cooking, using the telephone, cleaning the house, doing laundry,   going to the bank, and managing medications.

social-

music, art groups, cooking and gardening. outdoor activities are shopping, eating out, theatre trips and sailing.

ethical-

honestly, integrity, loyalty

the role of the practice manager is to ensure that all communucation is appropriate, respectful, timely, and compliant

explanation: