Re: T2's going on Insulin?

[Guest guest]

> I'm a little confused about this. If your wife was

> put on a basal insulin (which usually has a slow,

> steady, relatively peakless action), I don't see how

> it would be much affected by gastroparesis.

No, that is the reason why she is not going to be put

on fast-acting insulin with her meals. If she takes the

repaglinide tablets with or after meals then if her

stomach does not open then the tablets get held back

too, whereas exogenous insulin wouldn't.

> I know how hard it is to be helpfully diplomatic

> when someone is having DM difficulty. I went through

> it with my mother.

I have never had the problem myself but it obviously

makes her feel very uncomfortable, she used to have

massive reflux but by eating very small meals, she has

beaten that one. The problem there is that by eating

small meals it is hard to keep up a reasonable body

weight. She now will not let me see how much she is

eating because I nag her to eat a little more. The

consequence of that is that she has a number of

deficiencies, iron in particular, which has resulted

in anaemia. Her stomach will not tolerate iron tablets.

I have learnt that it is possible to paint yourself

into a corner with diabetes and then the principle

of changing just a little at a time becomes important.

> Wishing you both the best possible outcome!

Thanks a lot, things have been worse!