i was just diagnosed with diabetic gastroparesis. i have for many years been able to pre-bolus about 10 minutes before eating my meals. it didn’t seem to matter how many carbs i was eating or how high the glycemic index was; my BGs were well controlled and my A1cs were good. but then, for some reason (coincidently, when i began on a Dexcom sensor), i was able to see patterns emerging that i had never noticed before, despite having used many BG testing post meals. i realized that i needed to pre-bolus for at least 15 minutes and that i had come to rely heavily on my pump’s dual bolusing feature. even for simple carbs such as oatmeal or yogurt and, basically, any kind of starch.
i tried extending my pre-bolus to 15 - 20 minutes before meals. this didn’t seem to do the trick either. now i am taking a drug (from Canada) called Domperidone before all meals and at bedtime. its helped relieve my nausea, but has not helped to relieve most of the other symptoms of the delayed gastric emptying. and i have come to notice that my BGs post meals are elevated from a starting BG of 80 - 120 to as high as 180 2 hours post meals
has anyone gone through this, and, if so, can you make any recommendations for how you have changed your bolusing before (and/or during) your meals??? i really need help. even with my D Ed and Endo, i haven’t found a solution yet. i am soooo frustrated and feel down and out with my lack of success.
thanks all, Daisy