Hypoglycemia vs. hyperglycemia
It can develop and progress over time, especially in those with uncontrolled blood sugar levels. People with type 1 diabetes and some people with type 2 need to take insulin or other drugs to reduce their blood sugar levels. The likelihood of complications and overall outlook for a person with diabetic gastroparesis will vary between individuals.
Acid reflux happens when stomach acid backs up into the tube that connects the throat and stomach (the esophagus). Another name for acid reflux is gastroesophageal reflux.
As I explain in the next article, one of the chief roles of stomach acid is to inhibit bacterial overgrowth. At a pH of 3 or less (the normal pH of the stomach), most bacteria canâ€™t survive for more than 15 minutes. But when stomach acid is insufficient and the pH of the stomach rises above 5, bacteria begin to thrive.
Undigested food can harden and form a lump called a bezoar. It can block your stomach and keep what you eat from moving into the small intestine. Most people with gastroparesis have had diabetes for at least 10 years and also have other complications related to the disease.
So many people also get reflux as one of their most common symptoms. I think perhaps that whatever causes the reflux makes us more sensitive to other chemicals, because I’ve had reactions to all sorts of drugs whenever I’ve had to have surgery. I don’t know if what I get is actually real hypoglycemia or not, but it has similar symptoms.
Food then moves slowly from the stomach to the small intestine or stops moving altogether. This disorder is known as gastroparesis, also called delayed gastric emptying. The delayed emptying of the stomach can increase your acid levels and cause GERD and heartburn. Type 2 diabetes is a very common known cause of gastroparesis. Generally, people who suffer from gastroparesis due to causes other than diabetes express their main symptoms as chronic nausea and vomiting.
These are symptoms of hypoglycemia, or low blood sugar. This is a condition that can occur in under certain circumstances shortly after starting to exercise. Many of the same doctors are, also, rejecting the old method of eating 5-6 meals a day to avoid low blood sugar. Instead, they recommend eating only 3 times a day to help the body become sensitive to insulin again.
GERD management using antisecretory, prokinetic, and cytoprotective drugs, in addition to hygienic and dietary measures, attempts to relieve the symptoms and to prevent complications (peptic stenosis, Barrett’s esophagus, and adenocarcinoma). Surgery is sometimes required, and Nissen-or laparoscopic 360Â°-fundoplication has been the most widely used antireflux procedure since its introduction in 1991.
Ensure that your diet is one that gives your body a steady source of fuel. Diabetes is a dietary disorder and the right food is, literally, your medicine. Based on a diagnosis of GERD refractory to medical treatment, the patient underwent laparoscopic surgery consisting of diaphragmatic crura closure and Nissen fundoplication over a 48 Fr. tube. The postoperative course was uneventful, and the patient was discharged on the second day after surgery on a soft diet.
The gastrin knockout mouse, which is incapable of producing stomach acid, suffers from bacterial overgrowth-as well as inflammation, damage and precancerous polyps in its intestines. (4) It is also well documented that acid-suppressing drugs promote bacterial overgrowth. Long-term use of Prilosec, one of the most potent acid suppressing drugs, reduces the secretion of hydrochloric acid (HCL) in the stomach to near zero. In one trial, 30 people with GERD were treated with a high dose of Prilosec (40g/day) for at least 3 months. (5) Eleven of the 30 Prilosec-treated people had developed significant bacterial overgrowth, compared with only one of the 10 people in the control group.
I take two spoonfuls of liquid Gaviscon before bed if I need to. I no longer take anti-reflux medication. I try and relax my stomach to help my digestion.
This condition may be termed reactive hypoglycaemia or fasting hypoglycaemia, both of which can be determined by laboratory test results.(Wilson, 2011) Many people that have episodes of any type of hypoglycemia are admitted to the hospital because in extreme cases it can become life threatening. Once people are admitted into the hospital they must be constantly monitored for their blood glucose levels to be sure that they stay at safe levels for the person to be alert and not have the chance of a seizure or feinting. More than likely the person will not be put into intensive care, but anything is possible. Hypoglycemia has the potential to be very dangerous and people should always be aware of the signs and symptoms. For the insulin dependent diabetic – delayed gastric emptying may cause blood sugars to drop unpredictably.
Be proactive with this knowledge. If you have already been diagnosed with diabetes and have heartburn, then simply knowing that your diabetes could be the cause is helpful. The discomfort caused by acid reflux may motivate you even more to be even more vigilant in the control your diabetes. Gastroparesis may also impact your absorption and you may not be benefiting from supplements or medications prescribed for your diabetes. This is the reason why giving oral drugs to patients with GERD may be challenging if the underlying gastroparesis is not addressed.
This surgical procedure achieves satisfactory results in 86-96% of patients, providing functional results similar to the original laparotomy procedure described by Rudolph Nissen (1956). This procedure often has side effects due to anatomic and functional changes, including dysphagia, flatulence, distention, and impossibility to belch and vomit (gas bloat syndrome).