A patient with a chronic illness, such as a diabetic patient, is at risk for a number of complications. Therefore, alongside insulin or oral antidiabetic injectables, diet is essential.
Doctors say that a lot of patients with diabetes have a number of digestive dysfunctions. The cause may be the occurrence of neurological complications associated with hyperglycemia. Specifically, some of the consequences of digestive dysmotility, most commonly encountered in diabetics, are the feeling of postprandial plenitude, bloating, nausea and vomiting.
Gastroparesis, the most common digestive complication
The most common digestive complication of diabetes is gastroparesis. It has an incidence of 5% – 10% 10 years after diagnosis of type 1 diabetes patients and 2% for type 2 diabetes.
The main symptoms of gastroparesis are:
Appearance of nausea, vomiting, feeling of bloating, alternation of episodes of hypoglycaemia with unexplained episodes, mass distances, hyperglycemia. Symptoms also appear unannounced most often, and suddenly, spontaneously. As a rule, the patient will weaken a lot and fight the bloating.
The risk group is women and men who suffer from obesity. But the proportion is higher in women.
The diabetologist specialist can diagnose gastroparesis. He will perform a blood glucose exam, but other investigations will be made alongside the endocrinologist. Practically, a thyroid hormone assay, a cholesterol and triglyceride balance, liver enzymes and kidney function, an amylase dosing, and a pregnancy test for women of childbearing age will be performed.
There are situations in which the patient is also advised to perform an abdominal ultrasound. It will help eliminate potential bilateral issues. Sometimes, an MRI can also be done.
Diet helps relieve symptoms
To relieve symptoms of gastroparesis, the patient will be on a diet. Sometimes psychotherapy is also helpful.
dietary measures are needed, medicines to improve stomach emptying, psychotherapy. The diet will contain as many liquids and foods as liquid. It is also advisable to reduce the amount of fat.