Guest guest Posted September 16, 2000 Report Share Posted September 16, 2000 Dear Angie, I'm not sure whether you have Bernstein's book Dr. Bernstein's Diabetes Solution, but if you don't, I think it's been suggested here before, I suggest that you get yourself a copy. He has some very valuable information in the book which may help. He suggests 4 approaches (used in combination) to improve it and has some very helpful info there. He suggests: - that gastroparesis can be cured by extended periods of normal blood sugars (although it may take a period of years) - gastroparesis is a major cause of high overnight blood sugars and wide random variations in blood sugar profiles Note that as the blood sugars smooth out, doses of insulin & regular meds (i.e. metmorphin) may need to be adjusted accordingly. The guidelines used to figure out if these approaches are working for you: - reduction or elimination of symptoms (i.e. nausea, regurgitation, bloating, hearburn, belching, constipation) - elimination of random postprandial hypos and highs - normalizing of blood sugar profiles The 4 approaches: (1) Use of medications - he notes that no medication will cure it - that the only cure is months/years of normal blood sugars. (Note that he strongly suggests liquid suspension as opposed to pills as often, because it is the digestive system that is the problem here... that pills are often not effective). He has specific suggestions about what kind of medications are most effective (2) Special exercises after meals - he says that the stomach itself may be like a flaccid bag, and with any activity that rhythmically compresses the stomach can crudely replicate the effect that a normal stomach - i.e. just as a brisk walk can reduce the bloat feeling. He suggests other very effective simple exercises too. (3) Meal plan modification - ordinary foods - chew gum, reduce fibre, no red meat, reduce protein at supper, eat 4 or more small meals (4) Meal plan modification - semiliquid/liquid meals (as a last resort), such as baby food (he has specific suggestions on how to figure out how much to eat), unflavoured whole-milk yogurt, whole-milk ricotta cheese) He also notes that if you are treating a hypo while suffering from delayed stomach emptying, that it can be tricky. He suggests chewing gum after a meal, liquid glucose solution instead of tablets (i.e. such as what is used for a GTT test in the lab) and lactose free milk (lactose has been converted to glucose) He also says that it is possible to reduce the frequency and severity of postprandial hypos by slowing the action of insulin or medications (metmorphin, etc.) to more match closely the delay you experience in digesting your meals. Anyway, Angie, all I have done is give you a basic summary of Dr. Bernstein's book. It should not replace getting the book, and reading his actual book. Hope this helps, and keep us up to date. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2000 Report Share Posted September 16, 2000 Dear Angie, I'm not sure whether you have Bernstein's book Dr. Bernstein's Diabetes Solution, but if you don't, I think it's been suggested here before, I suggest that you get yourself a copy. He has some very valuable information in the book which may help. He suggests 4 approaches (used in combination) to improve it and has some very helpful info there. He suggests: - that gastroparesis can be cured by extended periods of normal blood sugars (although it may take a period of years) - gastroparesis is a major cause of high overnight blood sugars and wide random variations in blood sugar profiles Note that as the blood sugars smooth out, doses of insulin & regular meds (i.e. metmorphin) may need to be adjusted accordingly. The guidelines used to figure out if these approaches are working for you: - reduction or elimination of symptoms (i.e. nausea, regurgitation, bloating, hearburn, belching, constipation) - elimination of random postprandial hypos and highs - normalizing of blood sugar profiles The 4 approaches: (1) Use of medications - he notes that no medication will cure it - that the only cure is months/years of normal blood sugars. (Note that he strongly suggests liquid suspension as opposed to pills as often, because it is the digestive system that is the problem here... that pills are often not effective). He has specific suggestions about what kind of medications are most effective (2) Special exercises after meals - he says that the stomach itself may be like a flaccid bag, and with any activity that rhythmically compresses the stomach can crudely replicate the effect that a normal stomach - i.e. just as a brisk walk can reduce the bloat feeling. He suggests other very effective simple exercises too. (3) Meal plan modification - ordinary foods - chew gum, reduce fibre, no red meat, reduce protein at supper, eat 4 or more small meals (4) Meal plan modification - semiliquid/liquid meals (as a last resort), such as baby food (he has specific suggestions on how to figure out how much to eat), unflavoured whole-milk yogurt, whole-milk ricotta cheese) He also notes that if you are treating a hypo while suffering from delayed stomach emptying, that it can be tricky. He suggests chewing gum after a meal, liquid glucose solution instead of tablets (i.e. such as what is used for a GTT test in the lab) and lactose free milk (lactose has been converted to glucose) He also says that it is possible to reduce the frequency and severity of postprandial hypos by slowing the action of insulin or medications (metmorphin, etc.) to more match closely the delay you experience in digesting your meals. Anyway, Angie, all I have done is give you a basic summary of Dr. Bernstein's book. It should not replace getting the book, and reading his actual book. Hope this helps, and keep us up to date. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2000 Report Share Posted September 16, 2000 > I'm still thinking and thinking about your situation. I think you must > insist upon being placed on Humalog. Humalog is not a good idea and not recommended when you suffer from gastroparesis, except under very specific circumstances. If your stomach is emptying several hours after eating, it does not make sense to take an insulin that starts to work only 1/2 hour after eating (risking a hypo, which is tricky to treat). He suggests very specific ways of taking meds and insulin, and suggests Lente and Regular insulin. He only suggests using Humalog as treating a high blood sugar, and only using it if the Lente/Regular insulins are out of your system (e.g. in the morning, 12 hours after your last meal, in the event of a morning high). > And you will have to test a *lot* and > carry glucose tablets around with you. Gluscose tablets are difficult to digest/absorb by a gastroparetic stomach. Bernstein suggests a liquid glucose solution, such as that used by labs, or lactose free milk. Chewing gum after a meal can also help speed the digestion of food, and help act to prevent a hypo. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2000 Report Share Posted September 16, 2000 > I'm still thinking and thinking about your situation. I think you must > insist upon being placed on Humalog. Humalog is not a good idea and not recommended when you suffer from gastroparesis, except under very specific circumstances. If your stomach is emptying several hours after eating, it does not make sense to take an insulin that starts to work only 1/2 hour after eating (risking a hypo, which is tricky to treat). He suggests very specific ways of taking meds and insulin, and suggests Lente and Regular insulin. He only suggests using Humalog as treating a high blood sugar, and only using it if the Lente/Regular insulins are out of your system (e.g. in the morning, 12 hours after your last meal, in the event of a morning high). > And you will have to test a *lot* and > carry glucose tablets around with you. Gluscose tablets are difficult to digest/absorb by a gastroparetic stomach. Bernstein suggests a liquid glucose solution, such as that used by labs, or lactose free milk. Chewing gum after a meal can also help speed the digestion of food, and help act to prevent a hypo. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2005 Report Share Posted October 22, 2005 You may want to try Ebay or amazon.com to find used cheap dvd's. As for the kicks, what helped me early on was to do different workouts rather than sticking with one until I mastered it. usually will explain the same concept in a different way or you will see the move in a diff vid and for some reason you may get a better view of how it is to be done. I wish you all the best! Peace Tyra questions Has anyone seen the Tae Bo basic( first 3 dvd's) in a set at a cheap price? I have been using my basic tape on vhs and its becoming worn out. I can also get through it pretty easily now( still break a sweat though) I am also still having trouble with getting the form correct. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 14, 2006 Report Share Posted May 14, 2006 Geez. Sounds like you've been to some pretty dumb docs so far. How can they have all of that documented damage to your spine, and say it's not causing your pain? That's got to be one of the lamest things I've ever heard of! Of course it's causing your pain! And on top of those problems, you may have arthritis or osteoporosis that's making it worse, and causing more pain. Have you been to an orthopedist? I would say try going to a regular doctor, a completely different one than you've seen before- different HMO/group if possible- because they all work together and " talk " about patients. And you need a clean slate. Get copies of your medical chart and tests done, if you can, and go to this new doc. Tell him/her you're in constant pain from these injuries and disc/vertebrae damage, and can they please give you some kind of treatment?!! Since you're pregnant, you'll probably benefit most from topical creams, heat/ice, and physical therapy. After you give birth, the doc should be able to give you some pain relief with meds. I hope this helps. You shouldn't have to suffer like this!! By the way, have you ever tried emu oil? It's a natural anti-inflammatory, and it shouldn't hurt your baby. Ask a pharmacist or doctor before using it, but you should check it out. Breanna texaslamar wrote: Ok. So I went back and read over all the x-ray/MRI reports I've had during the last 5 years. According to the MRI, I have " disc bulges " in C3 - C6 of my vertebrae. --------------------------------- New Yahoo! Messenger with Voice. Call regular phones from your PC and save big. Quote Link to comment Share on other sites More sharing options...
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