The primary treatment goals for gastroparesis related to diabetes are to improve stomach emptying and regain control of blood-glucose levels.
Gastroparesis and diabetes control
Treatment includes dietary changes, insulin, oral medications, and, in severe cases, a feeding tube and parenteral nutrition.
Dietary changes for diabetes control
Dietitian may suggest six small meals a day instead of three large ones. If fewer foods enter the stomach each time, emptying made easy. Dietician may prescribe a liquid or pureed diet for more severe cases of gastroparesis. It helps to restore your blood-glucose to more normal levels.
It is better to avoid high-fat and high-fiber foods. Fat naturally slows digestion and fiber is difficult to digest. Some high-fiber foods like oranges contain material that cannot be digestible. Avoid these foods because the indigestible part will remain in the stomach too long and possibly form bezoars.
Insulin for Blood-glucose Control
Gastroparesis cause the food absorbed more slowly and at unpredictable times. So to control blood-glucose,
- having insulin more often or change suitable insulin type
- having insulin after eating instead of before
- check blood-glucose levels frequently after eating and have insulin when necessary
Consult doctor for specific instructions for taking insulin based on your particular needs.