I have read that neuropathies will tend to get worse with improved blood glucose control. Damage to the nerves due to diabetes mellitus comes in two ways. One kind is damage to nerves that control involuntary processes, such as heart rate and digestion. This is called autonomic neuropathy. The other kind is damage to nerves in areas away from the central nervous system, such as the hands, arms, feet and legs.
Peripheral neuropathy is nerve damage to the extremities.
Management of autonomic diabetic neuropathies includes improvement in glycemic control and a transient worsening of symptoms has been described. Specific treatments for gastrointestinal motility disorders include diet modifications, erythromycin, bethanecol chloride, metoclopramide, domperidone and cisapride. For bladder dysfunction a urologist consultation is advisable. 1995-2001 Diabetes123 and Children with Diabetes . Comments and Feedback .