My girlfriend may be showing signs of diabetic gastroparesis, but has only been diabetic for six years. When do diabetics present with this sort of autonomic neuropathy? Does it usually exist with other forms of neuropathies or complications?

Diabetic gastroparesis is a special form of neuropathy that affects the autonomic nervous system. This system is responsible for “automatic” functions such as digestion, breathing, temperature regulation, blood pressure, etc. Autonomic neuropathy is not generally an early presentation and is also associated with duration and level of control. Therefore, those with a rather short duration, such as this, may have had poor control if it is present early. It is also associated with other neuropathic conditions. It is important to follow closely with your physician. Poor blood sugar control can cause or be the result of gastroparesis.

JTL