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Gastroparesis

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

Members: 136
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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).

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Comment by MidnightButterflyIris on August 31, 2008 at 4:50am
hello, i'm rather new to Gastroparesis.. in fact so far i haven't had it anywhere close to as bad as some of the stories i've read out there, but it's strange for me trying to sort things out nevertheless. for the last 3 months i haven't had much trouble with it since after my test showing only a minor delay in digesion, my doc put me on omaprezol and it has helped a lot for some reason..along with modifying my diet to keep from throwing up my food all the time like i used to...i try to avoid swallowing anything that i can't fully chew up in my mouth...
so yeah, its been ok ... untill yesterday when my stomach has started to be mean to me. and that's not the only thing that all of a sudden starting acting up around the same time... 3 days before, my sciatic back/leg pain decided to come back and be even worse, after a few months of being reasonably good.
its just been a bad day phisically wise with that plus feeling like my entire body muscles ache exhaustion.. for no real good reason...
On the story of my dear stomach new antics,
i cooked a healthy pasta meal and ate that yesterday...just like i did 4 days before without any problems... but this day, two hours after eating, i threw up half of my food that i had eaten, and 6-10 hours later i was still feeling the food trying to churn in the UPPER part of my stomach, and it was hurting the whole time..like that feeling you get when you have eaten WAAAy too much except the pain is 3 times as bad and its coming from stomach muscle.
and every hour or so i'd actually feel it when a little bit of the food went down some and it would make me burp. i tried getting up and walking a bit in the house to help digestion but it hurt even worse than it hurt sitting down.. on a 1=fine to 10=bad /scale, it was like a 4.
....on the other hand i had a pretty good bg day as far as it being stable -which is almost rare. (I've been having a hard time learning to time my insulin bolus dosages taken on my pump correctly with the absorption delay.)

Today, i had a slice of toast and a yogurt smoothie for breakfast and it made me full pretty fast, but it didn't hurt as bad. then for lunch i tried to eat a extra small spinach waldorf salad with some quiche and tried to eat MUCH slower than usual, like one bite every 5 minutes. after 5 bites, my stomach started to hurt and feel like a overfilled water balloon. i had already taken my insulin so i forced myself to eat the quiche ..trying for the logic that its mushy food;..but i couldn't finish my salad. i ate that when it was 8pm and its now 5 hours later and my stomach still hurts.
i just want to know if any body has experienced this kind of thing and furthermore, how the heck do you deal with this?? .. its kind of aggravating and depressing me and i don't know what to do since these symptoms are kind of a new experience for me.

??...is it going to keep being like this or will it ever go away once in a while or is there some other tricks i should know about or do you just eat baby food or do you just not eat and only drink juice or do you alternate the days that you do eat solid food or is there certain foods that are absolutely the doomers of us or are there other less obviously known foods -besides things with peels and stalks- that can make it worse or is there a certain specific tiny measurement of food that the stomach can only handle at a time or does it hurt no matter what you eat or no matter how much you eat???? What are the very beginning stages/symptoms of Gastroparesis that you had to go through, and how long does each last before you developed new /worse symptoms??
I feel so unprepared and so confused in dealing with all this. please help.
-Jess
Comment by Doris D on August 28, 2008 at 11:25am
May I ask if the dr has put your daughter on reglan and (generic name here) Omeprazole. I have to take the Omeprazole once a day in the morning about 30 minets before I eat ans 2 reglan tables at every meal even after taking the Omeprazole at breakfast
Comment by Doris D on August 22, 2008 at 11:26am
Good idea Michelle this group! I'm sure others will come give them time!!!
 

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