Gastroenterology

This is not one patient’s disaster averted but what I have experienced working in the field of diabetes and obesity for years. Many times patients who are taking glucose lowering and/or anti obesity medications will report different GI complaints-such as bloating, diarrhea, constipation, nausea, vomiting, and GERD. They tell me they are going to see a gastroenterologist for an evaluation.

Study finds fewer T2 patients on exenatide once-weekly reported gastrointestinal adverse events, compared with those on exenatide twice-daily or liraglutide once-daily.

Initiation of glucagon like peptide-1 agonists may increase risk of gallbladder or bile duct disease and cholecystectomy; no increased risk associated with DPP-4 inhibitor therapy.

Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 1 Chapter 22 Gastroparesis Anumber of times throughout this book, you’ve come across the terms “delayed stomach-emptying” and “gastroparesis.” As I explained in Chapter 2, elevated blood sugars for prolonged periods can impair the ability of nerves to function properly.  …

Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 2 Chapter 22 Gastroparesis How Does Gastroparesis Affect Blood Sugar Control? – Part 2Consider the individual who has very little phase I insulin release and must take fast-acting insulin or one of the older-type (sulfonylurea) or newer pancreas-provoking OHAs before …

Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 3 Chapter 22 Gastroparesis Efforts at diagnosis are usually unnecessary if there is no reason to suspect the presence of gastroparesis. So first we must have an index of suspicion. If, at the initial history-taking interview with your physician, you …

Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 5 Chapter 22 Gastroparesis Super Papaya Enzyme Plus has been praised by many of my patients for its rapid relief of some of the physical symptoms of gastroparesis— bloating and belching, for example. Some claim that it also helps to …

Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 6 Chapter 22 Gastroparesis   Erythromycin ethylsuccinate is an antibiotic that has been used to treat infections for many years. It has a chemical composition that resembles the hormone motolin, which stimulates muscular activity in the stomach. Apparently, when stimulation …

Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 4 Chapter 22 Gastroparesis It is worth noting that gastroparesis can be cured by extended periods of normal blood sugars. I’ve seen several relatively mild cases where special treatment was terminated after about 1 year, and blood sugar profiles remained …

Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 7 Chapter 22 Gastroparesis Exercises That Facilitate Stomach-Emptying The paretic stomach may be described as a flaccid bag, deprived of the rhythmic muscular squeezing present in a stomach that has a properly functioning vagus nerve. Any activity that rhythmically compresses …