Hello!About a year ago I had to consult with a digestive because I suffered vomiting very frequently and would not dig the food well.After several tests I have been told that I have gastric emptying, that is, a gastroparesis, and of course, as I am diabetic they blame it for diabetes (I've been with good controls and good glycosylated hemoglobins, without any other complication, without any other complication, and usually happens to people with bad glycemic controls maintained over time, with many years of evolution due to the affectation of the vago nerve, such as neuropathy).The fact is that I'm going crazy.Fortunately I carry the insulin pump that allows meI take juice, cocacola or glyc up and it took it as an hour to overcome it since the stomach is "stopped" and with procinetic medication I have improved. I give you an example: Ceno, it has to be low in fat and without fiber so that the emptying is not yet possible. It is possible to pureAbsorption of food.I'm looking at glycemia and when I notice that it starts to rise is when I administer bolo.If I have the bad luck that I get the sugar in what I do the digestion everything I take is trapped in my stomach, I have to do iton the other hand and pull glucagon, or stop the pump drink glucose and wait to see what happens, but of course at the four hours that you start absorbing everything if I am asleep I make hyperglycemia peaks (I think I go to bed with 140 but as I followabsorbing food ...) I don't know if any of you happens to you or you know something about the subject that can help me.I am suffering a lot. It means being all day now of how it absorbs what as to avoid serious hypoglycemia, and if diabetes already requires attention because this already overflows me. I am looking for a unit specialized in gastroparesia but I can't find anything.I live in Madrid.They have told me that in the zyinic there is a unit of functional disorders but I still investigate how to access them.Even the digestive came to tell me that how I had been so poorly controlled to put on an insulin bomb.. A hug and thanks in advance.
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Let's see if anyone knows a specialist in this subject. Diabetic neuropathy can improve with treatment. The glucagon can put into minidosis with insulin needles, in case it can help you. What hospital do they take you?
Hija de 35 años , diabética desde los 5. Glico: normalmente de 6 , pero 6,7 la última ( 6,2 marcaba el Free) Fiasp: 4- 4- 3 Toujeo: 20
@beti, I work at H. Puerta de Hierro and take my diabetes in the hospital endocrinology and nutrition service.I can ask my endocrine.Anyway, if in the clinician they are specialists in the subject you should ask that your endocrine from your reference hospital derives the clinician, and if he does not want or cannot, you can exercise the free choice of specialist through your doctor ofHeader, or from the clinical hospital itself.In the centers of patient care of hospitals they will inform you of how to do it.Let's see if I find out something and inform you.
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My endocrine is fabulous but it seems that the issue of gastroparesis is the responsibility of the digestive. She says she does not know how to help me. I correspond to the Gregorio Marañón hospital but it seems that this unit of the clinician is very good and pioneer in these issues.to patient care to advise me on how to manage to see me. Thank you very much for answering Xorxie, if you find out something inform me please.I will try to wear small doses of glucagon, and with insulin needle (thanks Regina had not thought about this)
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@Beti, I had a season with many hypos after eating, as if I made digestion slow.And vomited with some frequency.They gave me medication and it happened to me.They also blamed him for diabetes and the abnormal digestive told me that his 50 -year -old heart was surely healthy than mine of 20 ... apart from other mutters.Look for more advice than the same is not diabetes
Miembro del equipo de moderación del foro DM1 desde 1988 Mamá de 2 niños y a la espera del tercero Bomba + Dexcom
Good, I am making a blog from the point of view of type 3 diabetics (who have a loved one with diabetes), I intend to put information about gastroparesia.It is estimated that the prevalence of gastroparesis is 50% although they only have symptoms between 5 and 12% of those who suffer from it.I leave a picture with information about possible treatments:
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Gastroparesis, no matter how much it is clear that I have it. In gastric emptying studies there is a considerable delay. What does not fit at all is that it is for diabetes, my controls have been good, I have no other complication ...;There are other causes of gastroparesis and that is what I have to fight.I have managed to take me in the unit of t.functional of the clinician who are experts in that.I had to endure the "Should we see ... how have you taken care of yourself?" I don't know if laughing or crying :)) Sometimes for being diabetic everything is justified.
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betti said: gastroparesis even though it is clear that I have it. In gastric emptying studies there is a considerable delay. What does not fit me at all is that it is for diabetes,My controls have been good, I have no other complication ...;There are other causes of gastroparesis and that is what I have to fight.I have managed to take me in the unit of t.functional of the clinician who are experts in that.I had to endure the "Should we see ... how have you taken care of yourself?"
If the medication they have put on you do not have to change it, there are several possible treatments (there are also surgical solutions).So you do very well to keep insisting !!
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I fear that I have tried all ..... I have changed tto several times and are not very effective in moderate gastroparesia (Cidine, Levogastrol, primpent and finally motilium in industrial doses ...). Something accelerates gastric emptying butNot enough. Now as the last option erythromycin, very powerful procinetic, but is an antibiotic with what cannot be taken daily, only when it is "acute", and on top of that acts on the motilina receptors and produces a tolerance and decrease in efficacy with theTime .... I have the box saved for when I get very bad of death, another option is botulinum toxin in the pylorus or stomach output, which is effective only in certain cases and is a temporal measure, and finally a pacemakerGastric, which in the Clinical Hospital have put some with bad results as the digestive itself told me ... it is still under study.This is chronic, incurable, with periods of sharpening and others of normalization (if I did not carry a continuous meter I think I would not have been aware that the stomach empties in too long, and would blame the sporadic vomiting to something else, the hypos after eating...). So I have no other than diet and attitude !! And we will see evolution ...
