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Gastroparesis

For those who has gastroparesis. Needing more information or just here for support.

Members: 42
Latest Activity: Feb 5

What if I have diabetes and gastroparesis?

The primary treatment goals for gastroparesis related to diabetes are to improve stomach emptying and regain control of blood glucose levels. Treatment includes dietary changes, insulin, oral medications, and, in severe cases, a feeding tube and parenteral nutrition.
Dietary Changes

The doctor will suggest dietary changes such as six smaller meals to help restore your blood glucose to more normal levels before testing you for gastroparesis. In some cases, the doctor or dietitian may suggest you try eating several liquid or pureed meals a day until your blood glucose levels are stable and the symptoms improve. Liquid meals provide all the nutrients found in solid foods, but can pass through the stomach more easily and quickly.
Insulin for Blood Glucose Control

If you have gastroparesis, food is being absorbed more slowly and at unpredictable times. To control blood glucose, you may need to

* take insulin more often or change the type of insulin you take
* take your insulin after you eat instead of before
* check your blood glucose levels frequently after you eat and administer insulin whenever necessary

Your doctor will give you specific instructions for taking insulin based on your particular needs.


Information by the The National Digestive Diseases Information Clearinghouse (NDDIC), a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).

Discussion Forum

Donna Fletcher

Life after gastroparesis 1 Reply

Started by Donna Fletcher. Last reply by Margaret Jan 19.

CherylLuck

Gastric Stapling

Started by CherylLuck Nov. 3, 2009.

Linda Booth

Does Reglan Work? 11 Replies

Started by Linda Booth. Last reply by Linda Booth Oct. 20, 2009.

Michelle Reinhardt

My daughter 2 Replies

Started by Michelle Reinhardt. Last reply by Doris D Aug. 21, 2008.

Comment Wall

Comment

You need to be a member of Gastroparesis to add comments!

Margaret Comment by Margaret on February 5, 2010 at 9:47am
I too used to be on Reglan for a long time until I experienced a bad side effect one day from it, Tardive Dyskensia, which is uncontrolled muscle movements.

I also have the Gastric Stimulator/pacer, which I got in 2002. It doesn't really do anything to help your blood sugar fluctuations from the delayed gastric emptying, nor is it meant for that purpose. What it does though that is of great benefit is decrease nausea and vomitting symptoms. It doen't completely elimanate it, but it can really be helpful in preventing most of these symptoms from escalating into a major GP episode. This used to be a major problem for me. Once the nausea and vomiting started it would not stop and I would end up in the ER or admitted to the hospital. This rarely happens now since getting the device.
Jacki Przybylski Comment by Jacki Przybylski on February 4, 2010 at 5:56pm
I have been diabetic for 39 years and was on reglan for about 8 years. I was taken off of it last Oct due to the FDA warning. Since then I have so much bloating and nausea off and on, I'm very uncomfortable. It also effects my blood sugars dramatically. My Dr & Nurse just keep adjusting my boluses and basal rates, carb/insulin ratios. It isn't working. Has anyone heard or had experience with the Gastric Electrical stimulation implant?
Alesha McElvogue-Calonkey Comment by Alesha McElvogue-Calonkey on December 16, 2009 at 7:06pm
I use regalan and haven't had any problems, Harvey what side effects are you referencing??
Harvey Schwartz Comment by Harvey Schwartz on December 16, 2009 at 7:01pm
I noticed several in this group use regalan. I would advice users of the drug (and it goes under generic names too) to understand the possible side effects relationships.
Linda Booth Comment by Linda Booth on November 10, 2009 at 3:58am
Thank You so much
tartis Comment by tartis on November 9, 2009 at 4:06pm
My whole family is diabetic, but my dad was just diagnosed with Diabetic Gastroparisis. I am having a hard time finding recipes for my dad, so I am having a hard time with his stomach pain. I did find a website with some good basic meal information, and I will share this with you: http://www.gicare.com/diets/Gastroparesis.aspx
Donna Comment by Donna on September 29, 2009 at 6:49am
One other thing to try...I just started a multi-enzyme full spectrum high potency digestive capsule at a health food store which helps to break down carbs, proteins and fats. It seems to be workingwell for now. One capsule per meal--but you must be careful if you take any other medication for another condition. Digestive enzymes can interfere with meds that must remain in your system for a period of time.
Donna Comment by Donna on September 29, 2009 at 6:40am
My doctor has suggested Botox injections done via endoscopy into the pyloric sphincter. This is supposed to relax the muscles and allow the food to empty.
Before my islet transplant I was only able to eat soft, easily digestible foods--so protein, yogurt and puddings became my diet although food was not something I desired. Since the transplant I have regained much more stomach function but from time to time I still deal with the extreme nausea and discomfort when I consume some complex carbs
marti w Comment by marti w on September 22, 2009 at 11:08pm
i'm in a weird spot. my gastroparesis was diagnosed a few months after my adult onset type i diagnosis. it turns out my gastroparesis is due to my MS and just wasn't noticed until i went on a low carb high fiber diet with scheduled mealtimes. before i had just eaten what filled me when i felt hungry and didn't really notice that i was already eating just small amounts several times a day.
it's been an interesting ride so far but i've managed to get it down to not vomiting more than a few times a week with just diet and blood sugar control. reglan turned out not to be an option for me and domperidone is a pain to get since my insurance won't cover it.
good luck to everyone here.
Rebecca Comment by Rebecca on June 5, 2009 at 4:59am
I was recently diagnosed with this additional affliction. Can you tell I'm excited about it? NOT! It's been a tough pill... or 4 (Reglan 10 mg.) to swallow. So far I'm having a hard time remembering to take all 4 pills- at their correct pre-mela-times during the day. I'm working on it. 2 are in my pill organizer so I at least get those in on schedule. I', still full all of the time, but somehow I manage to eat. I am still heavier than I would like since I also continue on my meds regemine of Cymbalta, Lyrica, and Apidra insulin also- all associated with weight gain. ( Note: I also suffer from moderate Fibromyalgia, hence the additional no-diabetic meds).

Anyway, I'd like to join this group. Food has always been my struggle and now this just adds to my nutritional, emotional, and psychologial issues with my diet. I can use all of the support that I can get.

Best wishes. I'm glad that you all are here -working together with information and support.
Rebecca B.
 

Members (42)

Margaret Linda Booth landileigh Doris D Laurie Pariseau Alesha McElvogue-Calonkey CherylLuck Michelle Reinhardt Donna Fletcher MidnightButterflyIris herman Kristi Sami Jonah Rachel Chloe Slage Debe loz Susan Marie Meril cheryl Taylor Kevin Gerri Sandy Barbara Cheryl Pealer Cathy Christina Conaty Rebecca Kent Austin Kristy Barton
 
 

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