Resources

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 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 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 …

Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 8 Chapter 22 Gastroparesis Other tools in controlling Gastroparesis – Part 8 Semiliquid or Liquid Meals A last resort for gastroparesis is the use of semiliquid or liquid meals. I say “last resort”because such a restriction takes much of the …

Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 10 Chapter 22 Gastroparesis Modifications of Preprandial or ISA Regimens to Accommodate Gastroparesis It takes a while for your physician to select and fine-tune a program to improve stomach-emptying. In the meantime, it’s possible to reduce the frequency and severity …

Patient, type 2 diabetes and obesity, on basal/bolus insulin with an A1C of 10.7%. He was not following any particular meal plan, and was, for the most part, consuming a high carb diet. Diabetes education was provided, including how carbohydrates affect glucose levels, lowering his carbs, and ideal target glucose levels. We told him we did not expect him to reach these levels right away, in fact we wanted to see how he adjusted to the change in diet without low glucose levels, so we recommended he decrease both his basal and bolus insulin, with clear instructions on how much insulin to take...

In this week's Homerun Slides, we see how sulfonylureas, metformin and TZDs work in the treatment type 2 diabetes...

This week George Bakris, MD, does some quick math to determine the cost of diabetes as it relates to dialysis and contemplates the future of dialysis equipment. He also shares current dialysis treatment options that may offer some flexibility to patient currently bound to visiting treatment centers....

This week George Bakris, MD, explains microalbuminuria as a sign of kidney disease and how often to test for it. He also ponders the questions of how do you determine if the patient is at risk for nephropathy and what do you do if they are....