Hello, First of all, you should control the blood glucose well, because the fluctuation of the blood glucose affects the autonomic nervous system resulting in vascular instability and autonomic neuropathy. Second, you should do some investigations such as: Kidney function tests, eye examination every 6 months. The regular check of your blood pressure and glucose level is important. Finally, your diet should be adjusted according to the blood glucose level and your daily activities, besides decreasing salt and fat intake every day. The absent of chest pain in the diabetic patient does not exclude a heart disease, because of autonomic neuropathy. The hormonal therapy for women such as oral pills or a replacement therapy should be adjusted with a gynacologist. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dr/Mustafa, Neurologist