From Michigan, USA:
My 16 year old son was diagnosed at 8 with Type 1 diabetes. He got through puberty so far without too many complications. Now he has had persistent nausea and vomiting and the doctors are suggesting gastroparesis. From what I can find, that is questionable. How is it diagnosed? How long term of a problem is it? What is the usual treatment? What is the prognosis?
Gastroparesis, a still poorly understood chronic complication of badly controlled diabetes, is quite uncommon in a 16 year old Type 1 patient, especially with only 8 years diabetes duration. I'd want to be sure it's not bulimia, an eating disorder quite common nowadays among adolescents who have diabetes, or perhaps stress or depression. Gastroparesis can be properly diagnosed by radiological studies ruling out other causes of GI symptoms (lactose intolerance, inflammatory bowel disease, celiac disease, reflux ulcer).
This complication can be treated with changes in meal composition and timing (of insulin shot as well) and with two different medicines: Propulsid (cisapride) and Reglan (metoclopramide). The prognosis is good. It generally depends on the eventual presence of other major complications of diabetes as it often happens in long term diabetes patients much older than your son.
Original posting 24 Jun 2000
Posted to Complications
Last Updated: Tuesday April 06, 2010 15:09:10
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.