Gastroenterology

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 …

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 …

New evidence suggests surgery has glucose benefits beyond weight reduction effects… A decrease in blood sugar values after gastric bypass surgery is associated with weight reduction. In addition to that, evidence suggests that gastric bypass surgery has affected glucose metabolism as well. The Morbid Obesity treatment, Bariatric surgery versus Intensive …

Researchers seek explanation for sustained weight loss after procedure… The mechanism that causes long-term weight loss with gastric bypass surgery is currently unclear. Reduced caloric intake does not provide the entire explanation for why gastric bypass patients maintain long-term weight loss. Previous studies suggests that enhanced energy expenditure might play …

Elevated serum liver markers may be disease indicator…. Type 2 diabetes and liver disease seem to have a connection; the liver is one of the targets of some common diabetic medications. The body needs the liver to help maintain normal glucose levels. But when the cells in the body become …

Data establishes effectiveness of semaglutide in treatment of type 2 diabetes…. Novo Nordisk is currently the manufacturer for Victoza (liraglutide), a GLP-1 agonist that needs to be injected once daily. However, semaglutide only needed to be taken once weekly, which is more preferred. The main objective of the SUSTAIN-3 trial …