الفهرس 
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Abstract
Diabetic autonomic neuropathy is a frequent complication of diabetes and affects the different systems of the body.
Exercise has different risks and benefits either with a single session or training regimen for management of diabetes.
This study is to assess the effect of single session of exercise in non-insulin dependant diabetes mellitus with autonomic neuropathy.
The study was conducted on 30 patients with NIDDM who were subjected to full history and clinical examination.
All patients subjected to tests for autonomic neuropathy (Heart rate response to valsalva’s maneuver, to deep breathing and to standing up and blood pressure response to sustained handgrip and to standing up).
The patients were classified into two groups: - Group I:
Positive autonomic neuropathy (18 patients) Group II:
Negative autonomic neuropathy as a control group (12 cases).
All patients subjected to:
1-Pre-exercise ventilatory functions. 2-Pre-exercise blood glucose.
Then all patients subjected to exercise test of single bout of incremental exercise test using the ergometer for 20 min. with a period of rest of 3 min. in the middle of the period of exercise.
Then the patients subjected to the following:
1-Post-exercise ventilatory functions. 2-Post-exercise blood glucose.
The results obtained showed insignificant change in the ventilatory functions before and after exercise in relation to age, duration of diabetes, or obesity. Only FEN, and FEF 25_75% showed a significant change in obese and non-obese groups. Also presence or severity of autonomic neuropathy has no effect on ventilatory functions which means that autonomic neuropathy has minimal effect on ventilatory functions. Obesity in diabetic patients shows small aim ay dysfunction as presented by FEVI & FEF 25-75%•
As regard to blood glucose, there \\ as insignificant change in relation to exercise in both groups of autonomic neuropathy but it showed significant change in relation to age after exercise.
Concerning to blood glucose level and obesity, it was found that there is significant change among obese and non-obese groups in relation to exercise \\ here the blood glucose decreases after exercise in non-obese group and increases after exercise in obese group.
In relation to duration of diabetes there is significant change but not specific to any group of patients where it decreased after exercise as the duration increases in response to exercise.
We can conclude that autonomic neuropathy in NIDDM patients does not affect the ventilatory Functions in relation to exercise and also there is no significant change in blood glucose level affected by presence or absence of neuron ally.
On describing the exercise regimen in NIDDM patients, we should put into consideration that there is no difference in its effect on the ventilatory functions in patients either with or without autonomic neuropathy.
As regard to the best exercise regimen designed for the patients with NTDDM and its duration and intensity needed, we need further studies on a wide range of patients.