Dr. Bernstein's Diabetes Solution. A Complete Guide to Achieving Normal Blood Sugars. Official Web Site

TREATING LOW BLOOD SUGARS WHEN YOUR STOMACH IS SLOW TO EMPTY - Part 9

Articles - Dr. Bernstein Shares His Insights

Last week I had a patient tell me that since she switched to lactose free milk her blood glucose started going out of control. The reason for this is found, strangely enough, in this weeks feature by Richard K. Bernstein, M.D., F.A.C.E., F.A.C.N., FCCWS, when he discusses Treating Low Blood Sugars When Your Stomach Is Slow To Empty

Diabetes Solution Revised and Updated 2007
Complete Guide to Achieving Normal Blood Sugars
Richard K. Bernstein, M.D., F.A.C.E., F.A.C.N., FCCWS.

Chapter 22 Part 9

TREATING LOW BLOOD SUGARS WHEN YOUR STOMACH IS SLOW TO EMPTY – Part 9

A patient from Indiana with a hiatal hernia once told me, "These Dextrotabs don’t raise my blood sugar one bit. What really works is one stick of that sugar-free chewing gum" (because chewing the gum encourages the stomach to empty a meal that may be sitting there).

Her comment illustrates a major hazard associated with any condition that retards stomach-emptying (gastroparesis, ulcers, and so on): treating hypoglycemia rapidly is nearly impossible. Note the qualifier, “nearly.” There are some tricks to circumvent the problem.

If your hypoglycemia occurred because your last meal is still sitting in your stomach, you might thereafter try some chewing gum to help it empty.

Since chewed glucose tablets can take several hours to leave your stomach, you should suck them or, preferably, try a liquid glucose solution. Such a product is available as glucose tolerance test beverage under a number of brand names in the United States. These include Glucola, Limeondex, Dexicola, and Sun-Dex. The drinks are bottled by manufacturers of clinical laboratory reagents and are stocked in every hospital lab and private clinical laboratory. A very convenient version, called Glutol, comes in plastic bottles. It is made by Paddock Laboratories, (800) 328-5113, and is also sold by Rosedale Pharmacy. It contains
2.8 grams of glucose per teaspoon and 8.3 grams per tablespoon. See Table 20-1 to calculate how much these amounts will raise your blood sugar. If you don’t have a medicine spoon handy and are in a hurry, assume that one swallow from the bottle is equivalent to 1 tablespoon.

If you’re traveling and forget to bring along a bottle of your glucose tolerance test beverage, get some lactose-free milk. This product has been treated with an enzyme that converts the lactose to glucose. In the United States, the most widely marketed brand is Lactaid. Every 4 ounces contains 6 grams of glucose. Remember, however, that Lactaid will spoil after a few days if not refrigerated.

Even if you’ve used the glucose tolerance test drink or Lactaid, you can speed up the action by chewing gum, by doing the back-flex and stomach exercises described earlier in this chapter, by using a handheld massager, and/or, prior to eating, by using some of the medications mentioned earlier.

Next Feature:
MODIFICATIONS OF PREPRANDIAL INSULIN OR ISA REGIMENS TO ACCOMMODATE GASTROPARESIS– Part 10

Gastroparesis – Part 1
Delayed Stomach-Emptying –Part 2
Diagnosing Gastroparesis –Part 3
APPROACHES TO CONTROL OF GASTROPARESIS -- Part 4
More Medications that can help in controlling Gastroparesis – Part 5
APPROACHES TO CONTROL OF GASTROPARESIS – Part 6
Non-Medication APPROACHES TO CONTROL OF GASTROPARESIS Part 7
Other tools in controlling Gastroparesis Part 8

Watch for the Next FREE LIVE WEBCAST: with Dr. Richard K. Bernstein, who will answer questions from medical professionals and patients and it is free. Just go to www.diabetes911.net and register and ask a question if you like!

To listen to the last 14 webcasts go to http://www.thebernsteinconnection.com

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These CDs were recorded during actual visits to Dr. Bernstein’s office. He reviews with you the steps you need to take in order to control your blood sugars and prevent the complications from diabetes.

Dr. Bernstein, author of the Diabetes Solution and The Diabetes Diet spends six hours educating and teaching you all about ways to control your diabetes. From diet, exercise, medications, foot care, dental care, blood glucose monitoring, how insulin works, you will learn the same knowledge that he gives to his patients when they come to his office in Mamaroneck, NY.

We would like to thank the publisher Little Brown and Company and Dr. RichardK. Bernstein, for allowing us to provide excerpts from Diabetes Solution 2007 Edition
Copyright © 2007by Richard K. Bernstein, M.D.
All rights reserved. No part of this book may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems, without permission in writing from the publisher, except by a reviewer who may quote brief passages in a review.

Author’s Note
This book is not intended as a substitute for professional medical care. The reader should regularly consult a physician for all health-related problems and routine care.

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