
Diabetes Type 2 Support Group
Type 2 Diabetes is a condition in which the body either does not produce enough insulin or does not make efficient use of it. Insulin is a hormone needed to convert food into glucose, a sugar that the body uses for energy. Without enough insulin, glucose can accumulate in the blood, and can cause serious health problems such as heart disease and strokes and organ damage...
Signs and symptoms of gastroparesis are
heartburn "No for me"
pain in the upper abdomen "Yes! I'd get bad cramps"
nausea "Yes"
vomiting of undigested foodsometimes several hours after a meal "Yes"
early feeling of fullness after only a few bites of food "Yes"
weight loss due to poor absorption of nutrients or low calorie intake "Yes, but I don't think it was from this condition"
abdominal bloating "Yes"
high and low blood glucose levels "No problems"
lack of appetite "No"
gastroesophageal reflux
spasms in the stomach area
Eating solid foods, high-fiber foods such as raw fruits and vegetables, fatty foods, or drinks high in fat or carbonation may contribute to these symptoms.
The symptoms of gastroparesis may be mild or severe, depending on the person. Symptoms can happen frequently in some people and less often in others. Many people with gastroparesis experience a wide range of symptoms, and sometimes the disorder is difficult for the physician to diagnose. This info was given to me by my Doctor. To help my tummy I eat soft foods for easy digestion. Also with the reflux, I raised the head of my bed with 2" wood blocks, and I take anti-acid medication every morning with my new eating habits (Soft Foods) and anti-acids med I'm much better. However I still get a few flare ups from time to time..Hope this was helpful to you...
A couple words about Treatment of Gastroparesis
1) Diet: Small, frequent meals (6 or more a day)
2) Exercise: Postprandial (after you eat) exercise (walking, biking) has been shown to increase the activity in the stomach, and thus may improve gastric emptying in some patients
3) Botulinum Toxin A Treatment: There is fair data (in some studies 43% of patients have a response) with Botox injection into the pyloric sphincter..worth asking your GI doc about. The response generally lasts about 6 months.
4) Meds (as you know): reglan, erythromycin, zelnorm (not FDA approved for this use), Domperidone, anti-emetics
5) Gastric Pacing: Or Gastric electrical stimulation (GES) has been used to treat patients with diabetic gastroparesis. This is an implantable neurostimulator sutured in to the wall of the stomach. Preliminary results were encouraging but longer term studies have not been so encouraging with the main problems being infection at implantation site and cost. Dr O.