Inclusion criteria:
type 2 diabetes over three year
age group40-75
Distal polyneuropathy resolutions based on questionnaires Michigan
HBA1C8% -10%
Exclusion criteria:
Kidney,liver,and heart failure based on the tests, history and physical exam
High blood pressure more than 180 mm Hg and advanced ;
diabetic Retinopathy
Pergnancy and lactation
History of amputation
Fever
the recent use of drugs for neuropathy {gabapentin , nortriptyline}
Consumers of medicines that induce delayed gastric emptying such as: Acarbose, Miglitol, Exenatid, benzodiazepines, calcium channel blockers, narcotics, alpha-2 adrenergic receptor agonists such as clonidine, tricyclic antidepressants, dopamine agonists, cholinergic muscarinic receptor antagonists, Octreotide, phenothiazines, cyclosporine