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why do I have all of these problems and are they related?
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Remember that the information presented here is not intended to replace the care of your own doctor. Before making any changes in the management of your own illness, you should consult your physician or other qualified medical professionals.


Question

I am 43 and was diagnosed with type 2 diabetes at age 42. I am taking metformin daily. I have been healthy my whole life, with the exception of chronic sleep issues, including night terrors, dreaming, sleep walking/talking and restless leg syndrome. I have been taking Mirapex and Clonazapam for about 5 years for my sleep issues following a sleep study.

Since my diagnosis last year, I have had several other health issues arise. Several months after my diagnosis, I began vomiting fairly often — following an EGD and ultrasound, I was recently diagnosed with Barrett's Change and gallstones. I am now taking Protonix for reflux, but continue to vomit following meals.

I have never suffered from heartburn, my cholesterol, triglycerides and blood pressure have always been well in the normal range. For the past 10 years, however, I became much less active due to ACL and chronic knee pain (4 scopes, osteotomy looming), and I did put on about 25 pounds. Since my diagnosis with diabetes, I have lost 25 pounds, still need to lose about 20 more. My question is why, all of a sudden, do I have all of these problems and are they related? What can I do (besides weight loss/exercise) to prevent anything more! Thank you.

Answer

Some of your problems are likely related to the weight gain; obviously you are dealing with this and have been successful. Although people with diabetes can have problems emptying their stomach, called gastroparesis, which leads to recurrent vomiting, it appears this was ruled out by the studies you had. By taking care of your diabetes you are certainly decreasing your chance of eye, kidney, heart, etc. problems in the future. I would continue what you are doing and work closely with your provider to see if any other causes of the recurrent vomiting are possible.

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There's some chance the metformin might be aggrevating your gut problems. Talk to your doctor about perhaps substituting another diabetes medication.

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