Diabetes Complication:  NEUROPATHY.  Read to learn types of neuropathy and the #1 prevention/treatment.  Having neuropathy can ruin your life.  Take control starting today!


Gastroparesis can be thought of as a semi-paralysis of the GI tract.  Peristalsis is the movement of food down the GI tract:  After you swallow food, it moves from the mouth to the esophagus to the stomach, the small intestine, large intestine, and rectum.  All this movement occurs with the help of nerve connections.

A complication of type 1 or type 2 diabetes is neuropathy (damage to the nerves from sustained periods of high blood glucose).  People think of neuropathy as causing numbness, pain, or tingling in the legs and feet. But neuropathy effects all the nerves in the body and the main cause is sustained high levels of blood glucose in people with diabetes.

Feeling full sooner than normal Here are the types of neuropathy and what can be done to prevent or treat this diabetes complication:

Peripheral Neuropathy

This neuropathy usually affects the feet and legs.

How Peripheral Neuropathy Affects You:

  • Tingling
  • Numbness (which may become permanent)
  • Burning (especially in the evening)
  • Pain


Autonomic Neuropathy

Gastroparesis falls into this category of neuropathy. Autonomic neuropathy usually affects the digestive system; especially the stomach. Autonomic neuropathy can also affect the blood vessels, urinary system, and sex organs. The #1 way to prevent or treat neuropathy is the most effective diet and lifestyle for diabetes (The Diabetes Miracle or The Metabolism Miracle books by Diane Kress, RD CDE)


How Autonomic Neuropathy affects your digestive system:

Symptoms include:

  • Bloating
  • Diarrhea
  • Constipation
  • Heartburn
  • Nausea
  • Vomiting
  • Feeling full after small meals
  • Erratic blood sugar despite taking diabetes medications as directed


How autonomic neuropathy affects your blood vessels and heart:

Symptoms include: 

  • Blacking out when you stand up quickly
  • Faster heartbeat
  • Dizziness
  • Low blood pressure
  • Nausea
  • Vomiting


How autonomic neuropathy affects a man’s  sex life:

Symptoms include

▪Inability to have or keep an erection

▪reduced ejaculations.


How autonomic neuropathy affects a woman’s sex life:

Symptoms include:

▪ Decreased vaginal lubrication

▪ Fewer or no orgasms.

How autonomic neuropathy affects the urinary system

Symptoms include:

  • Trouble emptying your bladder
  • Bloating
  • Incontinence (leaking urine)
  • More bathroom trips at night

Treatments and Prevention for neuropathy include:

  1. The underlying method to prevent or treat neuropathy is the most effective lifestyle plan.

The best diet and lifestyle plan are clearly detailed in Diane Kress’ The Diabetes Miracle or The Metabolism MiracleThe books are available on Amazon.com, BarnesandNoble.com, can be ordered through any book- purchasing site or any brick and mortar book store.

Diane Kress also offers an interactive support website at www.miracle-ville.com.  This subscription site offers all answers to your questions about the program, new recipes, support from over 2000 members, and Diane Kress will answer your personal questions.  Videos for those who prefer to learn by listening and watching, too!  8.00 per month!

Without the proper lifestyle, medications won’t work and blood sugar will not regulate.


  1. There are also medications that may be ordered by your physician for treating your type of neuropathy.

 Metoclopramide, has been available since 1983. It is the only FDA approved medication that improves stomach emptying. Multiple clinical trials show that it improves symptoms in about 40% of patients. Because of  side effects, 20–40% of patients cannot take this drug.

Treatment with metoclopramide for longer than 12 weeks should be avoided due to possible side effects.

Domperidone, has never been approved by the FDA. It is similar in effectiveness to metoclopramide, but has fewer side effects. In the U.S. it can be obtained through a doctor under special arrangements and is available in Canada, Mexico, New Zealand, Japan, and Europe. An intravenous form of domperidone was removed from the market in 1980 because of some unexpected serious heart problems An electrocardiogram (EKG), which tests electrical activity in the heart, should be done before starting this medication. Follow-up EKG is recommended in those who are taking the drug. Caution should be used in older patients or those with known cardiac disease.


Erythromycin is an antibiotic speeds up stomach emptying. About 40% of people with diabetic gastroparesis will improve with short courses of erythromycin. However, effectiveness of erythromycin often decreases sharply after several weeks of taking the drug. Possible side effects of erythromycin include nausea, vomiting, and abdominal cramps.

Antiemetic Agents are used to treat nausea and vomiting, which are disabling symptoms of gastroparesis..


Possible side effects for each of these drugs should be discussed by the doctor and patient.

I have worked with thousands of patients with diabetic gastroparesis and all neuropathies.  I know the best method for prevention and treatment of diabetes complications is maintaining normal blood glucose.  While following the program, test blood sugar before and 2 hours after the start of meals.  “Before meal” readings should not exceed 120mg/dL and 2 hour after the start of a meal readings should not exceed 150mg/dL.  After 8 weeks on The Diabetes Miracle or Metabolism Miracle, you will see your BEST blood glucose readings.  If your readings are normal, you are in a great position for long term health and decreasing the chances of getting or maintaining diabetes complications. Congratulations to you.

If your blood glucose and A1C are out of range after 8 weeks on program, you will need a change in your diabetes medications.

From today forward, live The Diabetes Miracle or The Metabolism Miracle program.  Following the program will be the BEST THING YOU CAN DO for your diabetes including long term health, improved quality of life, requiring the least amount of medication, and to help decrease or prevent diabetes complications.

Dig Diane Kress’ work?

 The Metabolism Miracle:   http://www.amazon.com/The-Metabolism-Miracle-Control-Permanently/dp/0738213861/ref=tmm_pap_title_0?ie=UTF8&qid=1411319710&sr=8-1

The Metabolism Miracle Cookbook:   http://www.amazon.com/The-Metabolism-Miracle-Cookbook-Delicious/dp/0738214256/ref=pd_sim_b_1?ie=UTF8&refRID=0DC5FY8CN1D1YH85YNM

The Metabolism Miracle Update:  (Brand new!)http://www.amazon.com/Metabolism-Miracle-Update-Revisions-Diabetes-ebook/dp/B00N4IQUF4/ref=sr_1_1?ie=UTF8&qid=1411319947&sr=8-1&keywords=metabolism+miracle+update

The Diabetes Miracle: http://www.amazon.com/The-Diabetes-Miracle-Prevent-Permanently/dp/0738216011/ref=pd_sim_b_2?ie=UTF8&refRID=03YM32PQDQ2W877F1JTM

The Interactive Support Group for Followers of The Metabolism Miracle and The Diabetes Miracle:  http://www.Miracle-Ville.com

***Follow Diane Kress on:  Twitter, Facebook, Google +, Pinterest, LinkedIn, and http://www.dianekress.wordpress.com.




About Diane Kress

Author of The New York Times Bestseller; The Metabolism Miracle, The Metabolism Miracle Cookbook, and The Diabetes Miracle. and The Metabolism Miracle, Revised Edition. Owner, developer, and administrator of The Metabolism Miracle's support site: www.Miracle-Ville.com. Registered Dietitian, Certified Diabetes Educator, www.themetabolismmiracle.com www.thediabetesmiracle.com www.miracle-ville.com Email: dietquestions@ymail.com
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