
JR lives with type 1 diabetes and severe gastroparesis, despite maintaining an A1C of less than 7% for the past few years. The endocrinologist referred JR to a GI specialist, who recommended a surgical procedure called a Gastric Peroral Endoscopic Myotomy, G-POEM, to address JR’s longstanding gastroparesis.
JR asks what you think about this intervention. What is the best response?
- It sounds like you are worried about the effectiveness and risks of this procedure. Is that right?
- Tell me more about what your GI doctor told you about this procedure.
- I know you are frustrated, but the primary treatment for gastroparesis is low fiber meals.
- Usually, gastroparesis improves as your A1C reaches target so I would wait and see if things improve.
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Getting to the Gut Topics:
- From the Mouth to Intestines: Periodontal disease, Gastroparesis, Fatty liver disease, pancreas disorders
- Intestine as an Endocrine Organ & Bacterial Host
- NASH Treatment Options including lifestyle and pharmacotherapy
- State the relationship between gut health, microbiome and diabetes and inflammation
- Describe 3 strategies to get our microbiome back to better health.
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