Your ANS has two parts

There are two parts, or branches, to your ANS: the sympathetic branch and the parasympathetic branch. Generally, the sympathetic branch is more in control when you are stressed, ill, or injured, while the parasympathetic branch is more in control when you are relaxing, sleeping, or recovering from an illness or injury. A balance between the two branches of your ANS is essential for good health. In fact, most illnesses and injuries cause or result from an imbalance between these two branches. An imbalance in your ANS can tell your doctor many things about how healthy you are as well as what can be done to keep you as healthy as possible.

What is ANS monitoring?

ANS monitoring is a fast, non-invasive, and simple way to provide your doctor with information to help him or her determine how healthy you are. Monitoring your ANS, when measured frequently like your blood pressure and heart rate, can help your doctor keep you healthy. Information is collected from an easy, painless test that can be done in your doctor's office or in a hospital. Your physician then interprets your results produced by the ANSiscope.

What is heart rate variability?

Heart rate variability (HRV) is a measure of your heart's ability to quickly respond to changes in your level of activity. Moderate variability is healthy. Too much or too little is unhealthy. ANS monitoring can provide your doctor with information that cannot be seen using other measures, e.g. on an ECG recording.

Are these measurements reimbursable? YES

The measurements of the ANS are reimbursable in the US under the CPT Codes 95921 and 95922.

Autonomic Neuropathy

Currently most doctors only know about peripheral neuropathy. This is accompanied by symptoms in the extremities of the body which then allows treatment.

It is well known that the complications of diabetes are more dangerous than Diabetes itself. Neurological complications are some of the common complications of diabetes.

Autonomic Neuropathy (which is hardly known but more deadly) on the other hand has no symptoms until it affects end organs (mostly the heart in 50-80% of the cases according to the WHO). It may take 5 years after the onset of Autonomic Neuropathy for it to affect the end organs and show symptoms of the end organs.

Autonomic Neuropathy is serious and is liable to cause silent heart attacks where a diabetic patient goes to sleep at night and does not wake up in the morning.

The ADA has recommended in its 2006 standards of Medical Care that Heart rate Variability testing (which detects autonomic neuropathy) be performed on Type 2 Diabetic patients, immediately on detection of diabetes. These measurements are re-imbursible as per CPT codes 95921 and 95922.

More than 220 Doctors in India are using ANSiscopes for the detection of Diabetic Autonomic Neuropathy for the past three years. More than 100,000 patients have been measured by them. The Indian doctors have experienced the fact that Autonomic Neuropathy is treatable if detected before end organ damage.

Contact us and ask for a booklet on Detecting and treating Diabetic Autonomic Neuropathy which summarizes the experiences of these Indian doctors. Contact your doctor and make him/her aware of this and ask for these measurements to be done on you.

The ANSiscope has US FDA 510(K) approval.

Taking your ECG

Dyansys markets a line of ECG machines that are very affordable for the home user. The machines have two modes of operation − home and physician. You can take your EKG at home in the home mode and get a simple printout in English that gives you the actual measurements of ECG parameters and compares them to normal. You can email your EKG to your family physician for analysis and interpretation..