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Diabetes Q&A | Coping And Emotional Issues | I've had Type 1 diabetes since I was 17
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The Question

07/26/09 02:32 PM

"I've had Type 1 diabetes since I was 17, (I am now 39). I have been unable to eat for7 wks. Is there anything I can do to help with this feeling?"
Asked By: kmsimons  
Category: Coping And Emotional Issues

Background Info Hide
I have type 1 diabetes and severe gastroparesis. I have a j-tube and gastric pacemaker. I'm having bowel spasms which makes using the j-tube impossible due to the pain. Although I can't eat anymore, I vomit numerous times a day. I know I'm getting dehydrated and I wonder if there is anything I can do to get hydrated/nutrition since I cant eat or use the tube?

Expert Answers (1)

07/31/09 06:19 PM

Hello,

Gatroparesis, also called delayed gastric emptying, occurs when the stomach takes too long to empty its contents. Diabetes can damage the autonomic nervous system if blood glucose levels remain high over a long period of time.

If food lingers too long in the stomach, it can cause bacterial overgrowth from the fermentation of food. Gastroparesis can make diabetes worse by adding to the difficulty of controlling blood glucose.

The primary treatment goal is to regain control of blood glucose levels. Treatments include medications, changes in what and when you eat, and, in your case, feeding tubes and intravenous feeding.

An antiemetic can help with nausea and vomiting. Talk with your doctor about your concerns. He or she can evaluate your treatment plan and adjust it so that you can get hydrated and nourished.

Detailed information about treatment options can be found on dLife. Click here to read it!

Take care.

Answered By: Liz Quintana
Accreditations: EdD, RD, LD, CDE,CPT
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