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Why Do Diabetics Have Gastroparesis?

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Diagnosis

Print Doctors use several tests to help diagnose gastroparesis and rule out conditions that may cause similar symptoms. Tests may include: Gastric emptying study. This is the most important test used in making a diagnosis of gastroparesis. It involves eating a light meal, such as eggs and toast, that contains a small amount of radioactive material. A scanner that detects the movement of the radioactive material is placed over your abdomen to monitor the rate at which food leaves your stomach. You'll need to stop taking any medications that could slow gastric emptying. Ask your doctor if any of your medications might slow your digestion. Upper gastrointestinal (GI) endoscopy. This procedure is used to visually examine your upper digestive system — your esophagus, stomach and beginning of the small intestine (duodenum) — with a tiny camera on the end of a long, flexible tube.This test can also diagnose other conditions, such as peptic ulcer disease or pyloric stenosis, which can have symptoms similar to those of gastroparesis. Ultrasound. This test uses high-frequency sound waves to produce images of structures within your body. Ultrasound can help diagnose whether problems with Continue reading >>

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Popular Questions

  1. gonzomax

    Straight Dope Message Board

    A friend at racketball has lost weight and plays a lot of racketball. He is diabetic and self administers a shot every day.
    He went to the doc yesterday and said he had a 9.3 number. What does that mean and is it dangerous? Another guy at racketball said that is very dangerous and portents amputations.
    Is it?

  2. pohjonen

    Assuming that's his A1c number, that is not good. Normal is 5 or so and sorta controlled diabetes is 7, according to some doctors. See here (http://www.phlaunt.com/diabetes/).

  3. Athena

    A friend at racketball has lost weight and plays a lot of racketball. He is diabetic and self administers a shot every day.
    He went to the doc yesterday and said he had a 9.3 number. What does that mean and is it dangerous? Another guy at racketball said that is very dangerous and portents amputations.
    Is it?
    9.3 is probably his A1c reading. In simple terms, your A1c is an average blood glucose reading over 2-3 months. Non-diabetics have A1cs around 5.0, which roughly corresponds to an average blood glucose reading of 100 or so; 9.3 corresponds to about 220 (I'm using this site (http://www.phlaunt.com/diabetes/A1Ccalc.php) for the conversions)
    And yeah, that's high. Most docs recommend an A1c of 6.8 or below for an adult diabetic. Once you get higher than that, your risk of kidney damage, amputations, and eye damage go way up. If I were your friend, I'm be pretty damn scared.
    To put it in perspective, if I ever see a number over 200, I get very concerned. If it's over 200 and I haven't eaten anything carby recently, I get panicky. To have an average reading of 220 probably means that he's spiking quite a bit higher at times.
    You say he's taking one shot a day - that seems low. A modern treatment regime typically involves 4-6 shots a day. Older types of Insulin required fewer shots, but those are the ones where you have to live a very regimented life - the shot had to be at a certain time of the day, and you had to eat at certain times of the day or you risked going low (which is more dangerous than high blood glucose. Go too low, you can die. You can die from high blood sugars, too, but typically it's not a quick death.)

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