<<Disclaimer: Verify this information before applying it to your situation.>> On Jul 20, 1996 21:16:16, '"Mary F. Hicks" <[log in to unmask]>' wrote: >I just read an article on celiac disease in Diabetes Forecast.... I have >been a type I diabetic for around 25 years and have always experienced >alternating diarrhea and constipation even before diabetes. More recently >I experienced symptoms which my endocrinologist attributed to gastroparesis: I'm posting some of this to the list because this combination hasn't been discussed before. As a Type I, my gastroscopy for celiac dx also revealed otherwise silent gastroparesis- food still in the stomach that early AM after a half day's liquid diet. Such nerve damage is common in diabetics. I've read the article in this magazine read mostly by diabetics and diabetic paramedicals: it's right on the 1 celiac in 20 of Type Is, wrong on the 1 in 2000 for the rest of the population and hence Type IIs. It neglects those Type I's who might show up without overt symptoms. It makes a big thing of diarrhea, likely becase someone years ago published a case report in which initially unexplained diarrhea in a Type I was finally diagnosed as celiac. (I found an article on "refractory diabetic diarrhea" , likely refractory celiac in a Type I.) DIarrhea in my experience is not a symptom of either Type I or Type II diabetes. Gastroparesis, nerve damage to the food mixing and moving muscles in the stomach and intestines, has several independent symptoms, each present or absent to varying degrees. It's possible that nerve damage has increased or shown up in another place as well for the belching, vomiting. Instead of drinking that tagged meal so they can watch it being moved, watch your blood sugar to see when it peaks after eating. If about two hours, then any stomach part to the gastroparesis is being correctly handled by the Propulsid. Any intestinal part effects more the amount than the timing, since the carbohydrates get digested much faster. Uncorrected gastroparesis typically creates wild swings in blood sugar for the Type I-- sugar may even go so low after a meal that the liver dumps sugar to fill in until the stomach finally empties: glucose is then high at the next meal and may go lower than expected later as the liver "recharges". As for the celiac, resist the temptation to go on the diet without at least the endosymial antibody test first. Blood work on iron, folate, vitamins may be useful. Perhaps ankle edema or low sodium. If the antibody is positive, perhaps you can skip the biopsy for now, just go on the diet. You'll likely need a gastroscopy later for gastritis, so let that also be to verify healing. Given your long history of diarrhea, there may be an ulcer to find as well. Kemp Randolph Long Island