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Information

Gastroparesis

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

Members: 138
Latest Activity: Apr 10

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 Wall

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

Comment by Scottyd on April 10, 2015 at 5:06pm

I got diagnosed back in 2002, and the way they said it, it sounded like an assumption. (had to be there) I do fine most of the time, but when my weight goes up (like to 180), then it kicks. they have me on 2 meds. one is omeprazole, and the other is domperidone, I found a great place to get the med, at a great price, and it does the trick for me. I found it at canadian pharmacies, but they charge a lot more than I can afford so I found inhouse pharmacy. It is near Australia (I can never remember the countries name) they have both Motilium, and 2 generics. All are good prices.
Anyway I learned that eating multiple times a day is what I should do, but I always forget. my blood sugar is a yo-yo, but my A1c stays below 7. it is annoying, but I have been in worse situations. I have it under control, but always remember when you wake up and you know it is one of those days, have a soft diet set. (like my phrase?) I learned what to eat, and what not to. (the hard way) I really need to see a dietician.
Oh the place where I get the domperidone is https://www.inhousepharmacy.vu/

Comment by Natalie ._c- on November 24, 2014 at 8:18pm

Well, I have developed another symptom that may be a sign of gastroparesis. That is, if I eat until I'm full, and after the meal, I bend over to pick up something, or pet my pups and kitties, my mouth fills with saliva, and if I don't stand up fast enough, I can't hold it, and have to spit it out. I found out that it's called water brash, and OK, now I know it's not vomit (doesn't taste like vomit) but still kind of disgusting. I wish I could squat instead of bending over, but I wouldn't be able to get up. So I'm trying to figure out what and how to eat so as to avoid getting full and still not be hungry. I'm sleeping on a slant pillow now, but still getting vomit taste in my mouth when I belch, although it's getting increasingly hard to belch, and I think soda needs to be a thing of the past because I can't swallow it, and even if I can get it down, then I feel like I need to belch and I can't. This is no dang fun, even though I know that others have it a lot worse!!

Comment by Cherise on March 2, 2013 at 10:28am

I was just in the hospital Wednesday night and until Thursday night. I was told them that I have gastroparesis and it is why I have been getting very sick every three weeks. We just thought I was relapsing from the flu. Well Wednesday night I got so sick that my husband ended up calling an ambulance because I was almost comatose. My glucose levels weren't really high either so he couldn't explain what was going on. They said that some of the food got backed up in me and it started growing bacteria and that is why I was vomiting, dizzy and just could not keep anything at all down. Though the stupid hospital 1)forgot to give me a referral to a GI doctor. My primary care is going to do this for me and 2)didn't say anything about diet changes or anything. I've been doing everything on research. I still am having issues with things that I really love to eat like the raw fruits and vegetables thing really sucks for me.

Comment by Marcia Skidmore on April 30, 2012 at 7:15pm

I don't ever eat red meat. It sits in my stomach like a lead brick forever. I was diagnosed with a 20% digestion rate - I only digest 20% speed compared to a regular tummy. I eat 'soft' = I do well with fish and I always cut tiny my chicken when I go that direction. I was told to go easy on fiber but I find I do ok with veggies and salads where I understand that those can be problematic. Moderation is important. ALSO very important, I never eat more than 300 calories at a time -- small portions, frequent meals instead of three big meals a day. A regular size portion twists me in knots. For me, that is more important than what I eat. I am on a Mediterranean diet for a more particular shopping list. I have my list of 'do well' foods (like yogurt). You'll find what works for you -- good luck.

Comment by shoshana27 on April 29, 2012 at 4:15pm

WHAT DO YOU PEOPLE EAT OR NOT EAT?

Comment by Katie on April 29, 2012 at 9:46am

Hi Margaret,
Yes, I just have the dexcom and pacemaker... good to know, thanks for your response!

Comment by Margaret on April 28, 2012 at 5:43pm

Hi Katie,
I have a gastric pacemaker and a Dexcom and also am on the Omnipod pump. I don't have any problems with interference with the Dexcom CGM device. If you are also using a pump though, I heard that you need to have the Dexcom and pump at least 3 inches apart from each other to avoid interference with those 2 devices. If you just have the Dexcom and the gastric pacemaker, it should not be a problem as far as I know.

Comment by Katie on April 25, 2012 at 12:11pm

Does anyone here have a GES (or gastric pacemaker) and a dexcom cgm? I got my GES last November and just went back on the dexcom last night. Is there any interference I should be aware of? I'm getting a lot of error messages and wondering if there is anything I should be aware of... thanks!!

Comment by Natalie ._c- on March 18, 2012 at 1:18pm

I have NOT been diagnosed with gastroparesis, but have, for the last 6-8 months been experiencing symptoms that have some commonality with gastroparesis, so I thought I'd stick my nose in here. I have NO problems with liquids, but if I eat a large meal, I feel full for 12-16 hours after eating, and last time, a couple of days ago, I was nauseated as well. I belch up vile, vomitous flavors, although I have never actually vomited because of it, and my BG starts out low, and then rises about 3 hours after I eat, and if I take insulin, it goes down somewhat, but rises again after 3 hours, and this goes on all night long. I can't lie down while my stomach is full, because I have horrible reflux. So I thought I'd lurk around here, in order to see if I could find out hints to relieve the symptoms.

And, Gerri, I DID try ginger tea (had lemon in it as well, but that was all I could find), and it DID settle my stomach.

So, anyway, I might lurk, or I might ask questions, but thanks for being here!

Comment by Jen on November 6, 2011 at 9:23am
I haven't been dx with gastroparesis, but can someone explain what it is? I seem to have stomach issues like nausea, belching, feeling full even when I haven't eaten anything, and also weird blood sugars. For example, waking up with a sugar in the 300's! Right before bed I checked my sugar and it was 105. An hour and half before bed I had a little bit of cottage cheese and some no sugar added mixed fruit. About 11 carbs for 1/2 a cup.
 

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