gastroparesis in patients with diabetes(gastroparesis in diabetes ), When we eat food, our stomach digests the food and pushes the contents into the intestines. Due to some reasons, the stomach gets upset and spoil and unable to push the food into the intestines. This condition called Gastroparesis. In the simple words, we can say, delay of gastric emptying. The stomach delays to push the food into the intestines. Sometimes, the person, due to diabetes type 1 or type 2, can suffer from Gastroparesis. In this article we are describing about Gastroparesis With Diabetes And Treatment
What is gastroparesis?
When we eat the food this food stays for some time and after digestion goes to the intestine. How much time stay in the stomach, it depend on the type of food. Some foods take to digestion short time 2 hours to 3 hours like rice and fruits while others take some extra time like beef and fast foods.
Sometimes, due to stomach function disorder the foods took too much time to emptying the stomach. this called Gastroparesis, In other medical terminology, this condition is called delayed gastric emptying. It is a stomach disorder in which the contents in stomach travel from stomach to intestines very slowly, sometimes, it stop to go into the intestines.
The stomach break up the foods with the help of chemicals in the essential fluid of stomach.
Normally, the muscles of the stomach, vogues nerve control these muscles, contract to break up food and move it through the Castro intestinal (GI) tract.
Gastrointestinal (GI) tract releases the hormones and enzymes who help the foods to digest in the intestines.
Why the Gastroenteritis occur?
Why the Gastroenteritis occur? Sometime, Due to any illness, injury or any type of stress, then these stomach muscles could not work properly, so damage occur in vaguest nerves. The stomach muscles stop working and can not digest the food in due time.
It is a stomach disorder in which the contents in stomach travel from stomach to intestines very slowly, sometimes, it stop to go into the intestines.
Remaining blood sugar level uncontrolled develops many complications on diabetic and gastroparesisis one of them. Diabetic persons suffer from usually gastroparesis. People who have had intestinal surgery also suffer from gastroparesis. Further people who are patients with diseases of the nervous system such as Parkinson’s disease or multiple sclerosis. They are more in risk of gastroparesis. It is noted that Women are more susceptible to this disease than men.
As above mentioned that diabetic persons usually suffer from this disease more often. Diabetics also have a time in their life when they develop diseases such as SGI problem such as gallstones, IBS ulcers, or another GI disorder. According to the medical specialists, 75% of the diabetic persons may can experience the GI symptoms.
Diabetes damage the entire gastrointestinal tract and develop effects at the mouth to the esophagus all the way through to the anorectic area. In the diabetic persons, the complex issues in diagnosing and treating GI conditions, may can increase, due to nature of GI symptoms and gastrointestinal tract covered area.
gastroparesis and Diabetes
In diabetes remaining uncontrolled blood sugar level for the long time is a high risk of many complications and gastroparesis is one of them.
And as with other diabetes complications, poor blood sugar control is usually associated with more severe GI issues. We can check GI conditions with retinopathy and neuropathy.
A body system supplies the neurons to the enteric nervous system, but some time, any dysfunction occur and GI complications develop in the body. For example, a nerve disorder in the foot increases the risk of neuropathy. Just as a nerve disorder in the foot increases the risk of neuropathy, a disorder of the intestinal nerves increases the risk of enteric neuropathy or the diabetic person can suffer from disease.
We can call this condition, neuropathy “autonomic neuropathy”. In this condition, the abnormality, occur in the absorbs nutrients and body secretes. Further, in this condition, the disorder or damage occur in the intestinal nerves. These intestinal nerves, stimulate the motility of the intestinal system. Due to this damage, function can accelerate or decrease the rate of intestinal function.
Symptoms of gastroparesis
The following are symptoms of gastroparesis:
vomiting of undigested food
early fullness after a small meal
loss of appetite
Remaining blood glucose level uncontrolled more often
Gastroparesis, Symptoms can be severe or even mild. it depends on the damage to the vagus nerve. The vagus nerve is a long cranial nerve, its function extends from the brain stem to the abdominal organs, and it includes the digestive tract as well.
Gastroparesis, Symptoms, sometimes, can be very severe. It is noticed that symptoms can severe when we consume the high fiber content or foods rich in fats. Generally when we eat food that is digested slowly.
Causes of Gastroparesis
People who have gastroparesis have harm to their vagus. Gastroparesis develops malfunction of nerve operate and digestion.In diabetes, digestion is often not good, so the chances of getting the disease are higher in diabetes. The persons with diabetes type 1 are 27 to 58% in risk of prevalence of gastroenteritis, while the persons with diabetes type 2 are estimated at 30 percent.
Mostly the persons with diabetes, Whose blood glucose levels remains higher than normal for the long time, become victom of this disease.
Remaining blood glycose level high, mostly damage the nervous system of the body. The blood circulates in the body through blood vessels.These blood vessels are responsible to supply the body’s nerves and organs with nutrition and oxygen. Usually, in diabetic persons, due to hyperglycemia, may damage the body nerves, blood vessels. While it damages the body’s nerves and blood vessels, it also damages both the vagus nerve and the digestive tract or one of them.
Gastroparesis Treatment and Management
There are many ways to treat diabetic gastroparesis who may provide relieves and cure in the treatment and management of diabetic gastroparesis. Instead of overeating, Consumption small portion of meals may can provide some relief in its symptoms.
From many experiments, it is discovered that less or avoid high-fiber foods are beneficial in this disease to the persons with diabetes.
Usually, in gastroparesis, it is advised to take liquid diet, because liquid diet is easily digested. In case of worse symptoms, It is important to avoid dehydration and lack of alimentation, so liquid diet is advised to the patient.
gastroparesis with diabetes and treatment
Many medicines are used to treat and relieve in gastroparesis. Some of them are under:-
Erythromycin is a common drug who is used in gastroparesis. This medicine has special properties for Solutions to gastroparesis problems, it stimulate the gastric motility. It seemed that it is very beneficial to some special selected persons.
Erythromycin performs function as an agonist of motilin, specially in gastric emptying. But this medicine develop some potential side effects such as nausea and it is noted that some patients do not tolerate it.
2nd medicine who is suggested by physicians in gastroparesis, it is Metclopropamide (Reglan. It helps to provide cure in gastroparesis and also has antiemetic properties.
Like other medicines, it develops some neurological side effects such as dystonia, tremor, confusion and sedation. Unfortunately, these effects are not cureable, although, the patient stopped to take medicine.
(Motilium) is a wonderful and rare side effect drug. This drug perform his function similar as metoclopramide. This drug help to digest system and pushing the contents from stomach to small intestine. Neither develop side effects in the digestive ststem and nor it cross the blood-brain barrier.
This drug is a good medicine to facilitate the gastroparesis. It is also a gastroprokinetic agent and provide good relieve in gastric emptying.
Pharmacological authorities do not taking severe action against metclopropamide, such as against cisapride. In USA The Food and Drug Administration has taken severe restrictions the use of cisapride, because of the potential for cardiac arrhythmia.
In the case of when we take medicines such as clarithromycin, fluconazole and erythromycin who delay the metabolism of cisapride, and some other medicines who that inhibit the cytochrome P34A system, then here it develop a particular concern.
How is gastroparesis treated in persons with diabetes
Good blood glucose control in people with diabetes is very essential because an elevated blood glucose level directly interferes with normal stomach emptying.
on the other hand gastroparesis can make blood glucose control difficult. as the food stay in the stomach for the long time and after much deley when enters the small intestine and is absorbed, blood glucose levels rise.
It is noted that in biabetics the blood glucose level remain uneven, sometime high and sometimes low, due to this unpredictable condition, Gastric emptying problem is also unpredictable with gastroparesis. To treat the gastroparesis, it is necessary to control the blood glucose level, because gastroparesis related to diabetes, so if blood glucose lever remains normal then improvement in gastroparesis cure will be possible. Gastroparesis with diabetes condition, it is importent to keep consult with doctor, he wil suggest the dietary changes to the person and insulin regimen as well.
Sometimes in some persons, the blood glucose level remain uncontrol, Although they do their best to control it. So to control the blood glucose level with gastroparesis, the person may need to take insulin more often or change the type of insulin.
Diabetic person must check blood glucose levels before meals, if needed they should take insulin.
In case of severity of gastroparesis, sometimes, the dietitian may suggest the dietary changes. May be he either suggest eating several liquid or puréed meals a day, until the improvement become in blood glucose level and gastroparesis symptoms.
Diet For person with diabetes gastroparesis
Treatment for Gastroparesis. Eating smaller, more frequent meals may help to avoid too much food in the stomach at one time. Your doctor may ask you to eat six small meals a day. These foods include milk products, high-fiber foods, spicyfoods, prune juice, and caffeine.
Persons with diabetes gastroparesis must consult his docter to know what he have to eat and drink.
Before consult the doctor the patient should keep these points in practice.
Person with diabetes can eat and drink:
Beverages and foods that are rich in fiber and low in fat
Instead of three meals in a day diabetic persons must take 5 small but nutritious meals in a day
soft, well-cooked foods
In case of, any person is are unable to eat solid foods, he should consult the doctor, he will suggest to drink:-
liquid nutrition meals
solid foods pure in a blender
The dietitian may suggest to the diabetic person to drink plenty of water or any other liquid who is rich in glucose and electrolytes, such as
low-fat broths and clear soups
low-fiber fruit and vegetable juices
oral re-hydration solutions
What should avoid eating and drinking if some ome have diabetes gastroparesis?
If you have gastroparesis, you should avoid
foods and beverages that are much low in fiber
foods that can’t be chewed easily
carbonated, or fizzy, beverages