Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
140 Doctors are Online

Suggest treatment for brittle diabetes

User rating for this question
Very Good
Answered by

General Surgeon
Practicing since : 2002
Answered : 3190 Questions
hi. I am a brittle diabetic and had ask a doctor about my stomach. I do not want to go back to my doctors here because I know they will put me back on the j- tube because I am still losing weight. I feel like after 27 surgeries that I cant go through no more. is this just my mental state of mind? my stomach does not work. I have severe gastropsisiis. and have had 2 gastric pacers/ stimulators that failed me. can you help me/
Posted Tue, 19 Aug 2014 in Abdominal Pain
Answered by Dr. Deepak Kishore Kaltari 1 hour later
Brief Answer:
Consider Metoclopromide and Erythromycin

Detailed Answer:
Welcome to Healthcare-Magic
Greetings of the day
Dear Ms

Individual with either long standing Diabetes or brittle Diabetes do have autonomic neuropathy leading on to Gastroparesis as one of the manifestation. I assume various other methods like Diet alteration, eating small quantity frequent meals, gastric motility drugs and other drugs would have been used before proceeding with Gastric pacemaker.

I would suggest you the following

1. Nasojejunal feeding: If you have tried eating small quantity frequent meals and other drugs like Metoclopromide then you will definitely require other additional measures like Either Nasojejunal tube feeding or Jejunostomy tube feeding to circumvent the problem of malnutrition.
It's very important to break this vicious cycle. Uncontrolled diabetics will further aggravate Gastroparesis>>>>> Malnutrition>>>> aggravate Diabetes.
I would suggest you to consult your Physician and discuss Nasojejunal tube feeding

In the meantime I would suggest you the following
1. Small quantity frequent meals
2. Consider Gastric motility increasing drugs like Metoclopromide
3. Avoid Vegetables, fruits and high fiber diet.
4. Trial Of Erythromycin is worth considering if not already attempted. It's a Antibiotic which directly increases Gastric motility .

Do get back to me if you need any further assistance, will be glad to assist you.

Take care

Best regards
Above answer was peer-reviewed by
Follow-up: Suggest treatment for brittle diabetes 13 hours later
but as I told you I do not want the feedind tube/ j tube back. I fed 18 hours a say and never wanted to do that again. but thanks for the input. I will go back to duke university in north XXXXXXX for help. XXXX
Answered by Dr. Deepak Kishore Kaltari 23 minutes later
Brief Answer:
Take care

Detailed Answer:

Wishing you great health

Take care

Best regards
Dr Deepak
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask a Gastroenterologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor