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Is There A Link Between Diabetes And Ibs?

Diabetes And Ibs

Diabetes And Ibs

Many people who are diabetic also experience gastrointestinal symptoms similar to IBS, so it’s not surprising that they are connected! I’m so happy to have today’s guest dietitian write about a topic that I know some of you may be struggling with – managing co-existing conditions on top of your IBS. Today we are lucky to have April Saunders, RD share her expertise on managing diabetes alongside your IBS. Take it away, April! If you have “gut issues”, meaning diarrhea, constipation, cramping, abdominal pain or nausea, and you have diabetes, you are not alone. In fact, this relationship is more common than you – or your doctor – may realize. Incredibly, 10-20% of adults worldwide suffer from functional gastrointestinal (GI) problems. For people with diabetes, this problem is even more common, and a large proportion of people with diabetes (type 1 or 2) suffer from a poorly functioning gut. Up to 75% of people with diabetes have at least one gastrointestinal symptom. A connection between people with IBS and higher rates of prediabetes has been found too, suggesting that this relationship starts early on in the pathway to type 2 diabetes. IBS and Glycemic Control IBS and other gut disorders are closely linked to diabetes. In fact, even the severity of symptoms is closely linked to the glycemic control of the individual, meaning the worse the glycemic control, the worse the GI symptoms. These GI problems can include diarrhea, constipation, abdominal pain, and vomiting. The most common GI problem that can be responsible for causing diarrhea is Irritable Bowel Syndrome (IBS), and many complex links have been identified between gut problems and blood sugars. Why do diabetes and IBS often co-exist? High blood sugars make it hard for the stomach and small intestin Continue reading >>

Irritable Bowel Syndrome And Diabetes

Irritable Bowel Syndrome And Diabetes

I don’t have to tell you about how common diabetes is—chances are, you already know. What you may not know, however, is how common Irritable Bowel Syndrome (IBS) is. This chronic disorder causes bloating, gas, abdominal pain, constipation, and diarrhea, and it affects up to 15% of people in the U.S. Women are twice as likely as men to be diagnosed with this condition. And? IBS and its key symptoms may be even more common in individuals with diabetes. Whether diabetes comes before or after IBS symptoms is not yet well known. Furthermore, the link between diabetes and IBS has not been well studied. Some past research on self-reported data suggests that people with diabetes experience IBS symptoms significantly more frequently than the general population but have the official diagnosis at about the same rate as others. Scientists are still searching for a definitive link between IBS and diabetes; current theories suggest gut bacteria and metabolism may be common factors in both conditions. Symptoms of both diabetes and IBS are greatly impacted by diet, stress, and general health. The kicker? Some people with diabetes may be told their abdominal pain and gastrointestinal discomfort is just a complication of their diabetes—leaving Irritable Bowel Syndrome (or other digestive disorders) undiagnosed and, thus, untreated. Eating To Handle Diabetes and IBS Irritable Bowel Syndrome is sometimes unpredictable, but it can be successfully managed with careful dietary planning. Thankfully, some of the best diet plans for people with IBS are also safe for people with diabetes. Individuals with Type 2 may have an even better excuse for watching what they eat if they are also plagued by IBS symptoms. An effective IBS diet may vary from person to person, but a few dietary recommend Continue reading >>

What To Eat When You Have Both Ibs And Diabetes

What To Eat When You Have Both Ibs And Diabetes

Some people have the misfortune of having to deal with IBS and diabetes at the same time. Little information is available as to how many people struggle with the two health problems together. What seems to be the case, however, is that IBS and diabetes are two distinct disorders, with no physiological overlap. Therefore, it appears to be just plain bad luck to be stuck with the two. IBS and diabetes do share one thing in common—a complicated relationship with food. This can make the job of figuring out what to eat quite challenging. If you have both IBS and diabetes, it might be a good idea to work with a nutritionist who is knowledgeable about both disorders in order to come up with a balanced food plan that is optimal for stabilizing blood sugar, while avoiding foods that may trigger IBS symptoms. The following discussion covers some of the factors that you may want to consider as you seek a dietary plan that works for you. What to Eat for Diabetes If you have been diagnosed with either type 1 diabetes or type 2 diabetes, you have hopefully discussed diet with your doctor and perhaps have worked with a nutritionist. Type 1 diabetes requires that you take special care with meal planning, while type 2 diabetes requires more of a focus on weight loss and control. Information on optimal diets for type 1 and 2 diets can be found here: What to Eat for IBS Unlike diabetes, the relationship between food and IBS symptoms is a somewhat controversial subject. For years, the medical establishment downplayed the role of food as a trigger or explanation for IBS distress. This approach was in direct contrast to the perception of many people with IBS that food is the absolute culprit in causing acute IBS symptoms. This disparity in perceptions is mellowing somewhat as researchers a Continue reading >>

Increased Frequency Of Prediabetes In Patients With Irritable Bowel Syndrome.

Increased Frequency Of Prediabetes In Patients With Irritable Bowel Syndrome.

Abstract The aim of this study was to compare the occurrence of prediabetes [impaired fasting glucose and/or impaired glucose tolerance are considered to be precursors to type 2 diabetes mellitus (DM)] in irritable bowel syndrome (IBS) cases and matched controls. Ninety-two patients with IBS and 104 healthy matched controls were included in this study. Type 2 DM was considered an exclusion criterion in both groups. Fasting blood glucose, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and triglyceride levels were examined; after 1 night of fasting, an oral glucose tolerance test with 75 g glucose was administered, and the blood glucose levels after 2 hours were examined. Although there were no significant differences in the triglyceride levels, significant differences were found for total cholesterol, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol levels (P < 0.001, 0.001, and <0.001, respectively). These measures were found to be elevated in the IBS group compared with the control group. The frequency of prediabetes, which is regarded as the first stage of type 2 DM, was also found to be significantly higher in the IBS group (P < 0.001). After adjusting for potential confounders, such as age, lipid levels, and anthropometric measures in the analysis of covariance models, prediabetes was significantly more frequent in the IBS group than in the control group (P < 0.001). Thus, given the higher prediabetes occurrence in IBS, IBS may indirectly indicate a higher risk of DM. Further investigations will be necessary to fully elucidate the mechanisms behind these observations. Continue reading >>

5 Causes Of Ibs Your Doctor May Not Be Looking For

5 Causes Of Ibs Your Doctor May Not Be Looking For

5 Causes of IBS Your Doctor May Not Be Looking For Irritable Bowel Syndrome (IBS) affects 15 percent of the U.S. population and is the second leading cause of missed work (behind only the common cold), but conventional treatments are ineffective because they only address the symptoms. Find out what really causes IBS so you can get well and stay well without unnecessary drugs. Irritable Bowel Syndrome (IBS) is the most common functional gastrointestinal disorder worldwide, with prevalence rates ranging from 9 to 23 percent depending on location. IBS affects approximately 15 percent of Americans and is the second leading cause of missed work (behind only the common cold). It accounts for 12 percent of visits to primary care providers and an estimated $21 billion annually in direct medical expenses and indirect costs associated with decreased productivity and absenteeism. The symptoms of IBS include gas, bloating, constipation, diarrhea, alternating constipation and diarrhea, and abdominal pain. They can range from mildly annoying to completely debilitating. But what is IBS? In medical terms, its a diagnosis of exclusion. This means that its a label applied when other disease conditions are ruled out. If you go to your doctor complaining of gas, bloating, and pain, she may run a number of tests to determine if you have inflammatory bowel disease (IBD), GERD, diverticulitis, and other problems that affect the structure of the intestines. If these structural conditions are ruled out, the doctor will evaluate your symptoms based on the Rome Criteria, a set of guidelines developed by consensus to diagnose IBS. These include: Recurrent abdominal pain or discomfort at least three days per month in the last three months associated with two or more of the following: Onset associa Continue reading >>

Sophie's Ibs Story: Unprecedented Honesty On A Gross Topic

Sophie's Ibs Story: Unprecedented Honesty On A Gross Topic

Sophie Lee has an obsession with toilets — not because it's some kind of fetish, but because all of her adult life, she's never known when she's going to urgently need one nearby, or suffer the consequences. It's a pretty icky topic, I know, but Sophie's new narrative describing her 20-year struggle with Irritable Bowel Syndrome (IBS) is one of the best-written "empowered patient" testimonials I've read. Sophie grew up in the UK and went to Warwick University in Coventry, studying journalism and later working in publishing. In her book "Sophie's Story: My 20-Year Battle with Irritable Bowel Syndrome," released this January, she chronicles her battle with this highly unpleasant condition, which has been systematically ignored and downplayed by the medical establishment until very recently. A key theme in the book is being told year after year that "it's all in your head" and that what she's experiencing is not a "real" medical condition. In fact, IBS affects more than 60 million people in America alone. Those who've experienced it know that IBS is probably one of the most uncomfortable conditions to cope with on a day-to-day basis, as it disrupts every aspect of your life — from eating to work schedules to travel to social interactions. And (surprise, surprise!) IBS is fairly common among people with diabetes. There is no physiological connection between the two, but many PWDs appear to have a "sensitive gut," and the conditions can be confounded by the fact that both can affect the nerves in that area and cause abdominal bloating and either diarrhea or constipation. Note that Diabetes Health Management published a four-part series on coping with diabetes + IBS a few years ago. Sophie's new book "opens the kimono" on this embarrassing condition. She describes her pre Continue reading >>

Diabetes And The Gastrointestinal Tract

Diabetes And The Gastrointestinal Tract

Gastrointestinal (GI) disorders are common among all people, including those affected by diabetes. At some point in any patient's life, the chances that he or she will develop a GI tract problem, be it peptic ulcer disease, gallstones, irritable bowel syndrome, food poisoning, or some other malady, are extremely high. As many as 75% of patients visiting diabetes clinics will report significant GI symptoms. The entire GI tract can be affected by diabetes from the oral cavity and esophagus to the large bowel and anorectal region. Thus, the symptom complex that may be experienced can vary widely. Common complaints may include dysphagia, early satiety, reflux, constipation, abdominal pain, nausea, vomiting, and diarrhea. Many patients go undiagnosed and under-treated because the GI tract has not been traditionally associated with diabetes and its complications. Both acute and chronic hyperglycemia can lead to specific GI complications. Diabetes is a systemic disease that may affect many organ systems, and the GI tract is no exception. As with other complications of diabetes, the duration of the disorder and poor glycemic control seem to be associated with more severe GI problems. Patients with a history of retinopathy, nephropathy, or neuropathy should be presumed to have GI abnormalities until proven otherwise, and this is best determined by asking a few simple questions. (See "Patient Information".) Many GI complications of diabetes seem to be related to dysfunction of the neurons supplying the enteric nervous system. Just as the nerves in the feet may be affected in peripheral neuropathy, involvement of the intestinal nerves may lead to enteric neuropathy. This is a type of autonomic or "involuntary" neuropathy and may lead to abnormalities in intestinal motility, sensat Continue reading >>

Coping With Ibs And Diabetes

Coping With Ibs And Diabetes

I have both irritable bowel syndrome (IBS) and diabetes, and coping with both can be frustrating. Some of the things that are bad for one condition are supposed to be what you need to do for the other — for example, using artificial sweeteners such as Splenda or sorbitol for diabetes, or eating high-carbohydrate foods for IBS. What can I do? — Carol, Oklahoma Both diabetes and IBS can affect the nerves supplying the gut and cause abdominal bloating and either diarrhea or constipation, making it a bit difficult to figure out which condition is causing your intestinal symptoms. If the main symptom of your IBS is episodes of diarrhea, then sorbitol or other alternative sweeteners may worsen your symptoms. However, if your IBS comes with constipation, these sweeteners may actually help. Also, medications used for abdominal pain and bloating, such as anti-spasmodics that relax the gut muscles (Levsin, Bentyl) and fiber products, would help both disorders. In terms of diet, foods that are high in carbohydrates have not been proven to help IBS. I would focus on adding complex carbohydrates and fiber to your diet. You may also want to consider working with a dietitian or nutritionist to find the many foods that would be well tolerated by someone with both diabetes and IBS. Continue reading >>

Irritating Irritable Bowel Syndrome (part 1)

Irritating Irritable Bowel Syndrome (part 1)

Shhh…irritable bowel syndrome, or IBS, isn’t exactly a topic that one brings up at the dinner table or during a business meeting. It might even be a topic that, if you have IBS, you don’t talk about with anyone except maybe your physician. But if you’re part of the 20% of Americans who live with IBS (and yes, some of them also have diabetes), chances are you welcome any information that may just help relieve some of your symptoms. Let’s take a closer look at this condition and find out what’s being done to help those who have it. What is IBS? IBS isn’t a disease. It’s not the same thing as inflammatory bowel disease (IBD) or Crohn disease. And while some who have IBS would liken it to a disease, it’s actually a condition or disorder that can cause extreme discomfort, inconvenience, and even embarrassment. One in five Americans has IBS, and women are more likely than men to have it. IBS can start early: About 50% of those who have it are diagnosed before the age of 35. In the past, this condition was called colitis, mucous colitis, spastic colon, or spastic bowel, but the proper name is irritable bowel syndrome (IBS). By the way, gastroparesis, a type of neuropathy that can occur in people with diabetes, isn’t the same as irritable bowel syndrome. Gastroparesis may cause diarrhea and/or constipation in some, but it’s primarily a disorder of the stomach, whereas IBS mostly affects the large intestine. Ask anyone who has IBS to name some of the symptoms and you’ll likely hear a common thread: Abdominal cramping or pain Bloating Gas Diarrhea and/or constipation (they can often alternate with each other) Many people report difficulty having a bowel movement, with an ability to pass only a small amount of stool or else pass a lot of mucus. Those who ar Continue reading >>

Eating, Diet, & Nutrition For Irritable Bowel Syndrome

Eating, Diet, & Nutrition For Irritable Bowel Syndrome

How can my diet help treat the symptoms of IBS? Your doctor may recommend changes in your diet to help treat symptoms of irritable bowel syndrome (IBS). Your doctor may suggest that you Different changes may help different people with IBS. You may need to change what you eat for several weeks to see if your symptoms improve. Your doctor may also recommend talking with a dietitian. Eat more fiber Fiber may improve constipation in IBS because it makes stool soft and easier to pass. The 2015-2020 Dietary Guidelines for Americans recommends that adults should get 22 to 34 grams of fiber a day.3 Two types of fiber are soluble fiber, which is found in beans, fruit, and oat products insoluble fiber, which is found in whole-grain products and vegetables Research suggests that soluble fiber is more helpful in relieving IBS symptoms. To help your body get used to more fiber, add foods with fiber to your diet a little at a time. Too much fiber at once can cause gas, which can trigger IBS symptoms. Adding fiber to your diet slowly, by 2 to 3 grams a day, may help prevent gas and bloating. Avoid gluten Your doctor may recommend avoiding foods that contain gluten—a protein found in wheat, barley, and rye—to see if your IBS symptoms improve. Foods that contain gluten include most cereal, grains, and pasta, and many processed foods. Some people with IBS have more symptoms after eating gluten, even though they do not have celiac disease. Low FODMAP diet Your doctor may recommend that you try a special diet—called the low FODMAP diet—to reduce or avoid certain foods that contain carbohydrates that are hard to digest. These carbohydrates are called FODMAPs. Examples of foods that contain FODMAPs include fruits such as apples, apricots, blackberries, cherries, mango, nectarines, pe Continue reading >>

Ibs And Blood Sugar Levels

Ibs And Blood Sugar Levels

I have recently had my blood sugars rise and stay up.while they have been up my IBS seems to be symptom free,maybe a little C but more like a normal persons? I was wandering if anyone else has noticed this ,those off you who are diabetic? Could there be a connection with the diabeties and the IBS? Then again it just may be a fluke thing. Thanks Deana! Hi Deanna, I am not diabetic, but I defintely have a blood sugar problem from time to time, I thought it was hypoglycemia, and then I thought it was from so much D. But it comes and goes, and does seem to be worse when my IBS is bad. I am going to ask my doctor about this when I have a followup appointement on Monday. If I get any helpful info, I'll let you know.CB Hi CB, Thanks for the quick reply if you have blood surgars going up from time to time then you probably have some sugar....please inform your doctor about this...any info you get on this would be appreciated thanks...I come from a long line of diabetics and believe me when I say if your sugars are going up you are boarderline and should be checked from time to time...good luck on monday and let me know what you find out..have an ibs free day ok ....Deana! There is no connection between diabetes and IBS. but I defintely have a blood sugar problem from time to time, I am not a doctor, but utilize sources of information not readily available to the public. Some of this information may contradict what you think you know and some of it may sound harsh, but the information is what it is, and you got it here for free. I am just a messenger. Always consult a real doctor. Oh Flux, I am not going to go round and round with you on this one, but yes, I apparently have a problem, have been tested, not diabetes, though they keep testing me, but they are not sure that its hy Continue reading >>

Have Ibs? Try Fodmaps.

Have Ibs? Try Fodmaps.

Irritable bowel syndrome (IBS) is a fairly common ailment among people with diabetes. More than 50 percent of people with diabetes complain of some type of gastrointestinal symptoms. IBS isn’t dangerous, but it is often difficult to control and its symptoms can be life altering. Severe IBS may limit your ability to engage in regular socializing. Never knowing if/when you may need to run to a bathroom can put a real damper on your social life. Since diabetes can affect the organs of the gastrointestinal tract, people with diabetes can be troubled by IBS. Lifestyle measures to treat IBS include an increase in fiber, a decrease in fat content in the diet and the use of stress reduction techniques. In the last few years a new dietary treatment called FODMAPs has come to the forefront. FODMAPs is a strange sounding word. Actually it is an acronym for the following: fermentable carbohydrates oligosaccharides, disaccharides, monosaccharide, and polyols . These are sugars that some people have difficulty digesting. People who cannot tolerate the foods containing FODMAPs may experience diarrhea, gas, bloating, constipation and the abdominal discomfort common in IBS. Clinical studies have shown that in a majority of people, following a plan that significantly reduces the amount of FODMAPs in the diet has been effective in reducing gastrointestinal symptoms . The diet isn’t easy, but with the help of a dietitian familiar with the guidelines you can eat a nutritionally balanced meal plan that takes into account your food preferences and your diabetes control. Below are some of the foods containing FODMAPs which should be limited if you have IBS. Free Fructose: apples, pears, mango, watermelon, fruit juice, sugar snap peas, honey, high fructose corn syrup Lactose: milk (goat, co Continue reading >>

Pain Point For People With Ibs And Diabetes

Pain Point For People With Ibs And Diabetes

10-20 percent of people in the U.S. have IBS and about 10 percent have diabetes. So its a good bet that some of you have both! And even those without a diagnosis of diabetes or pre-diabetes may be concerned about managing blood sugar levels to help with mood or fatigue. Diets for these conditions both revolve around the types and amounts of carbohydrates you consume. The pain point? Some of the best strategies for managing diabetes increase symptoms for people with IBS. Sometimes people who work very hard at improving their diets for diabetes run into big trouble with abdominal and bowel symptoms when they do so. But all is not lost. You can learn to manage both conditions, thanks to other strategies for the two that mesh very nicely. Meat, fish, seafood, poultry, eggs, and oils dont contain any carbs at all, so they arent really part of this discussion. All other foods do contain carbs. Some of them occur naturally in foods, such as lactose in milk, or starch in potatoes. Fibers in foods such as nuts, whole grains and vegetables are technically considered carbs too. Sweeteners that may be added to prepared foods are sources of carbs. Some of these carbs are FODMAPS. Others are not. Here are some important pointers for people with diabetes or pre-diabetes, and things to consider for those who are also limiting their FODMAP intake. There are many good low-FODMAP sources of fiber that people with diabetes can eat. Delicious lower-FODMAP hummus starts with canned, drained chick peas, which are lower in FODMAPs than those used to make commercial hummus. Scroll down to try this recipe yourself! 1.Eat carb-containing foods with low impact on blood sugar. People, this translates to eat more fiber in the form of fruits, vegetables, whole grains, and beans. Great advice for dia Continue reading >>

Is There Any Relationship Between Diabetes And Irritable Bowel Syndrome?

Is There Any Relationship Between Diabetes And Irritable Bowel Syndrome?

Up to 75% of people with diabetes have at least one gastrointestinal symptom. A connection between people with IBS and higher rates of prediabetes has been found too, suggesting that this relationship starts early on in the pathway to type 2 diabetes. Why do diabetes and IBS often co-exist? High blood sugars make it hard for the stomach and small intestine to work normally. At the same time, IBS itself can make it harder for your body to control post-prandial (or after meal) blood sugars. Ill take a closer look at the issues and outline some strategies to get you some relief and on to the right path for a happy gut and optimized blood sugar control!If youre diabetic, you likely know that uncontrolled blood sugar can be damaging to nerves in the body. Nerves in the small intestine are no exception. When these nerves are damaged, delayed gastric emptying, or gastroparesis, can result. Along with the nausea and bloating, gastroparesis can also cause pain and diarrhea. If youve had diabetes a long time, uncontrolled high blood sugars can result in diabetic diarrhea, and has been reported to occur in up to 22% of patients. High blood sugars can cause delays in gastric emptying, which can make all the above symptoms worse. And when stomach emptying is delayed, it can be harder for you to control your blood sugars. Yikes! So how do you break this vicious cycle? For any nerve damage caused by uncontrolled diabetes, the first line of treatment is to optimize your blood sugars. A quick note on fibre. Fibre is recommended for people with diabetes to help increase satiety, lower cholesterol, and control blood sugars, however this is partly due to fibre slowing down the time it takes for food to get from the stomach into the small intestine a problem not experienced by people with g Continue reading >>

What’s Bugging Your Gut? Diabetes, Ibs Or Both?

What’s Bugging Your Gut? Diabetes, Ibs Or Both?

If you have “gut issues” – meaning diarrhea, constipation, cramping, abdominal pain or nausea – and you have diabetes, you are not alone. In fact, this relationship is more common than you – or your doctor – may realize. Up to 75% of people with diabetes have at least one gastrointestinal symptom. These GI problems can include diarrhea, constipation, abdominal pain, and vomiting. The most common GI problem that results in diarrhea is Irritable Bowel Syndrome (IBS) and the links between gut problems, namely IBS and blood sugars are tightly woven and interconnected. Even the severity of symptoms is closely linked to the glycemic control of the individual. Meaning the worse the glycemic control, the worse the GI symptoms. High blood sugars make it hard for the stomach and small intestine to work normally. At the same time, IBS itself can make it harder for your body to control post-prandial (or “after meal”) blood sugars. A Missed Diagnosis and Continued Suffering Sadly, people with diabetes suffer from the effect of undiagnosed IBS or other digestive disruption every day. Some people with diabetes are told their abdominal pain and gastrointestinal discomfort is just a complication of their poorly controlled blood sugars—leaving Irritable Bowel Syndrome (or other digestive disorders) undiagnosed and, therefore, untreated. To complicate matters further, symptoms of both diabetes and IBS are greatly impacted by diet, stress, and general health. In diabetes, GI problems are often related to what’s referred to as autonomic gastrointestinal neuropathy resulting in abnormal motility. “Motility” refers to your body’s ability to move through the digestive system – including your stomach, small and large intestine at the right speed: not too fast, not to Continue reading >>

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