Type One Diabetes, Coeliac Disease AND IBS

lilyfleur

Well-Known Member
Messages
59
Type of diabetes
Type 1
Treatment type
Pump
After years and years of ill health, 13years of diabetes, about 8 years since a coeliac diagnosis and constant depression, I have now been diagnosed (for want of a better word) with IBS. My doctor essentially said "well it's the only explanation, just try to eat a better diet" and left it at that, but I have now been referred to a gastroenterologist or someone like that to confirm and I'm hoping this doctor will actually give some suggestions for treatment of symptoms. I was just wondering if anyone else has experienced anything similar because I think the IBS isn't really a diagnosis, there doesn't seem to be any pattern in terms of trigger foods and I've been stressed my whole life so I don't really see why I would suddenly get IBS now, plus it's one extreme to the other every single day so suggestions to take more or less fibre really don't help. Any advice?

Thanks

Sarah
 

donnellysdogs

Master
Messages
13,233
Type of diabetes
Type 1
Treatment type
Pump
Dislikes
People that can't listen to other people's opinions.
People that can't say sorry.
Your gastroenterologist should do tests. I had all the cameras everywhere before I was asked to do the shapes test. My gastro said the last time I saw him that he was starting to believe it was IBS, except the fact that I was diabetic-for everyone else IBS would have been his diagnosis. However it was discovered that after 5 days I still had 58 out of the 60 shapes still travelling through my colon and stomach... So the diagnosis was then 'slow colonic transit'..

The diagnosis doesn't actually change things,but I know what slows my stomach down now...
1) jelly babies ( I cannot have these as hypo stoppers)
2) Indian and Chinese take aways (ate once in a blue moon-really rarely)
3) bad stress really plays havoc
4) various other medications I was on....
All of these things block my bowel and give the most horrid impacted faeces. However, I now have the movicol and enemas on prescription and know when to take them.

The rest of the time my bowel is now pretty much normal or very rarely loose.

I eat a really good healthy diet, and my gastro said to keep eating and drinking as I do, but to eliminate the 4 kick offs as much as possible.
Stress is not in my life anymore, I have completely changed my life to de-stress it. I don't worry about my diabetes or anything now. I have lots of vitamin d3, and I really feel my brain and depression has improved since taking these. I was referred to the Pain Clinic so they could advise on taking the right tablets instead of the concoctions my GP had me on. My diet hasn't changed at all, but the stress factors have hugely. I laugh everyday now which was really missing from my life..... I have fun every day with new hobbies,and friends that don't mention my health at all. I also now restore furniture and reupholster as another relaxation,but also an income. Stress played a huge impact on my stomach...I can't even remember now when I last had any problems.

Sorry that it isn't much help to you, but the major players in my stomach problems were the 4 things listed above, and my stomach I would say now is co-operating with me 99% of the time.

The other thing that tells me that my stomach is ok is that I can actually hear it working through, as it does make a fair few noises in the morning when I am still in bed or have got up and a sitting down doing something. If I don't hear my stomach gurgling, then I will take 11/2 a movicol sachet and that will be enough to just get it working nicely before problems arise. Again, I haven't had to do this for a long, long time. I actually used to keep a diary for awhile that just recorded my food, how I felt stress wise, and how noisy my stomach was, and how my poo was...this really helped me to realise the triggers.... And it wasn't my normal diet or anything to do with it.
 

donnellysdogs

Master
Messages
13,233
Type of diabetes
Type 1
Treatment type
Pump
Dislikes
People that can't listen to other people's opinions.
People that can't say sorry.
Ps I seemed to have been stressed my whole life too....bowed stressed and feel the whole depressive cycle I was on has been lifted. I had to change enormously on my thinking of what stressed me and how I could change it, but now....especially with the Vit D I am so living and looking forward to the laughter each day that I have in my life now.
Everybody needs some stress, but not as a permanent factor....
 

unknown

Newbie
Messages
1
Type of diabetes
Type 1
Treatment type
Insulin
Hi Sarah

I have been a type 1 for approx. 40yrs. 10 years ago I developed horrific stomach problems, the weight was falling off me almost on a daily basis, my GP didn't want to know & just told me I was depressed & prescribed anti-depressants. She could virtually see me "disappearing" in front of her eyes! I was so angry at her attitude & behaviour that I kept returning to see her virtually every week over a period of about 6 weeks, all that time continuing to lose weight. Eventually I realised that wheat seemed to be a problem (lunchtime sandwiches always sent me straight to the loo) and virtually everything else I ate didn't seem to help.
Then I did some research, attended university to study biochemistry, so I could find out what the heck was going wrong with my body.
It transpired that Type 1 has genetic links to both asthma & coeliac disease. (Both are also in my family). So I cut out all gluten-containing wheat, barley & rye products - & VOILA! My gut response to food intake was SOOOO much better after approx. 2 weeks' time. It did take nearly a year for my gut to properly repair itself though. (yr gut keeps yr consumed foods & drinks for approx. 4 days - & these somehow seem able to "accumulate" sometimes before you notice an adverse effect). So if you eat something that does NOT harm yr gut, within 4 days of having eaten something that DOES harm yr gut, you'll have terrible difficulty in distinguishing which foods have caused you harm.
A formal diagnosis was never made because by the time I found the solution to my stomach problems, my whole body was sooo ill, I felt unable to tolerate eating gluten-laden products for the period of 2 weeks the gastroenterologist insisted I do - in order to show the damage to the microvilae (hair-like strands on part of the gut). Even then, the medics had it wrong. They were telling us that the microvilea were being slewed off the gut, then re-growing, when in fact they were simply swelling to such an extent that the gut surface seemed flat. Hmm. The medics do learn along the way, as do we.
All-in-all, the only real solution to your own gut problem will be to keep a record of EVERYTHING you consume, food or drink, over a period of at least two weeks. ALSO keeping a record of your gut reaction day by day.
Then make a decision about what seems to be causing the most obvious problem & eliminate if from your diet. One step at a time, there will possibly be more than one particular food that upsets your gut, you may even find the troublesome foods are related in some way, eg. gluten, nightshade, citrus, etc. etc.
I wish you the best of luck Sarah, & don't despair at the lack of interest my the medical community. As a body, its not what drives them. In my experience they seem to be more drugs-orientated by way of driving force. That will not necessarily be true for all the individuals, but it was certainly the case for me. Thank God I was able to get myself into uni & learn for myself...... Lynda
 

lilyfleur

Well-Known Member
Messages
59
Type of diabetes
Type 1
Treatment type
Pump
Thank you for the responses everyone- I've only just seen them now (thought you got emails if people replied so I assumed nobody had but it turns out I didn't have the notifications on)!
The shapes test sounds like one that might be useful for working out what the problem is.. I have an appointment with the gastroenterologist in a couple of weeks so I'll just have to wait and see what he/she thinks. I've tried food diaries and there are no patterns, and I've already eliminated gluten from my diet because I'm a coeliac.
To be fair it may well turn out to be IBS, I think I'm just really hoping it's not because I just can't take anymore of the problems that can only be solved by lifestyle changes- I've been so depressed for so long about the diabetes and coeliac disease and I've still not got to grips with eating a regular balanced diet despite my fears of going blind etc so I have no faith that I'll ever get better if the only answer is better diet!
Apologies for the pessimism! I'm working on it in therapy but I guess I just have to be patient!
Thanks again,

Sarah
 

Indy51

Expert
Messages
5,540
Type of diabetes
Type 2
Treatment type
Diet only
If you have already eliminated gluten, then I would suggest investigating the FODMAPS diet which relates to specific carbohydrates that can trigger IBS issues in people. A lot of research has been done into this by Monash University and a Dr Sue Shepherd:

http://www.med.monash.edu/cecs/gastro/fodmap/

I believe there are also dietitians who specialise in helping people with the diet.