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One possible complication of long-term uncontrolled diabetes is a condition known as gastroparesis.
The nerve that controls the movement of food through the digestive tract, the vagus nerve, can, like other nerves throughout the body, become damaged by high levels of blood glucose over a long period of time. Those with gastroparesis may have symptoms of nausea, heartburn, bloating and a feeling of fullness while eating that comes earlier than usual (this is also known as early satiety). Gastroparesis, because it can disrupt normal digestion of food, can also lead to erratic blood sugar levels and can make normal dosing of diabetes medications, such as insulin, more difficult. Because gastroparesis can result in food staying in the stomach for too long, it is possible for bacterial overgrowth to occur. Another problem, although rare, is the possibility of solid food masses known as bezoars forming in the stomach.
Those who take insulin as treatment may also need to change the way they take insulin in order to keep blood sugar under good control. Determining which changes may be best should be an important part of conversation with your doctor. The right diet can transform a case of type 2 diabetes while the wrong foods can lead to dangerous complications.
Dairy (cheese, yogurt, milk) is important, but go for non-fat versions, even for ice cream. When trying to follow a healthy diet, how you cook your food makes a big difference in the end product. Limiting trans fats (found in many processed foods and foods cooked in oil) and saturated fats (found in meats and whole milk) to less than 20 grams per day, if possible. Limiting sodium (salt) to 2,000 to 2,400 grams per day, unless you’re on a sodium-restricted diet. In addition, she says that “unless you have a fluid restriction, take in six to eight glasses of unsweetened clear liquids per day. So it came to my attention recently that siblings have a difficult time after their brother or sister gets diagnosed with type 1 or type 2 diabetes. Sign up for our FREE DiabeticLifestyle eNewsletter, and receive diabetes-friendly recipes, news, treatment updates, lifestyle tips on managing your diabetes, and more.

Gastroparesis is the medical term for a condition in which the stomach takes too long to empty.
In more severe cases, there may be vomiting of undigested food, loss of appetite and weight loss. These can cause vomiting and stomach obstruction, and can be dangerous if they block the passage of food out of the stomach so that it is unable to reach the small intestine. According to the American Diabetes Association, the diagnosis can be confirmed through one or more of the following tests. These measurements show doctors how well the stomach is working and whether or not there is any delay in stomach emptying and digestion. The physician performing the endoscopy can look through the scope into the stomach and check for any abnormalities. We don’t eat just to sustain ourselves — we celebrate with food, and we often mourn with it too.
The first thing is to learn the basics, says Kathy Honick, RN, CDE, a diabetes educator at Barnes Jewish Hospital in St. Some people respond well to carbohydrate counting (keeping track of the amount of carbohydrates you ingest with each food product), others to portion control (adjusting portion size to produce desired blood sugar levels), and yet others to the diabetes food pyramid (eating a set number of portions of specific foods throughout the day). All the attention for the siblings not living with diabetes disappears, as the family rallies around the child living with diabetes.
The information and recipes on this site, although as accurate and timely as feasibly possible, should not be considered as medical advice, nor as a substitute for the same. This allows your physician to determine whether or not there are any other conditions that may be causing your symptoms. All medications have side effects, however, and which one is best, if any, will be best determined through a careful discussion with your doctor. It may take some trial and error for you to find what works best for you, but your dietitian can help you with this, as can information from the American Diabetes Association.
You just have to adapt and change your eating habits and, maybe, some of the foods you eat. Although, attention around being sick is not usually positive, the siblings would rather have negative attention than none.

The loss of attention can cause jealousy and anger.All children react differently to the shift of attention.
Other siblings will not hide their anger causing a good child to act out and seen as a bad child. Regardless of how your child acts, parents need to be aware of the changes in their family dynamics.Reducing Conflict!Ideally, you want to start off right by not making diabetes your sole focus, from the time your child gets home from the hospital 'til they leave home. There are several ways that you can achieve this.Do not change your family diet the moment your child gets home from the hospital. Then, slowly change your family diet over time to a healthier diet, and take responsibility for the changes so your child living with diabetes doesna€™t have to.If youa€™ve already changed the diet drastically or have different diets in place for your child living with diabetes, make everyonea€™s diet uniform through compromise. Your children who dona€™t have diabetes will get back some of the things they enjoy, and that will reduce some of the friction between your children.In a family meeting, clearly explain to each member of the family what their role will be in helping your child living with diabetes.
Remember, it is not the job of the other children to monitor your child living with diabetes or to tell you when they are not managing their diabetes properly. That is for you, their doctors and other adult caregivers to do, dependent on the age of your child living with diabetes.Avoid continuously discussing diabetes related issues as a topic of conversation. Keep discussions about diabetes with the people who take care of your child and your child living with diabetes.Lastly, make sure that positive and equal attention is given to all the children in your house.
Diabetes ita€™s just a small portion of your child life and all the other areas of their lives need support.
Just as your other children need your support as well.An imbalance of attention to members of the family become increasingly difficult rectify after the fact. The negative feelings that form due to an imbalance of attention between siblings and the child living with diabetes can last a long time through adulthood. This is on top of so much that's already been taken from them due to their illness.Remember your child living with diabetes doesna€™t want to argue with their siblings and defiantly doesna€™t want to be seen as sick. If you need help finding a healthy balance in your family, please contact a mental health professional that specialize in family work or chronic illness.Eliot LeBow, LCSW, CDE, is a diabetes-focused psychotherapist, diabetes-coach, presenter, and writer.

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