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Message: <blockquote data-quote="Alexandra100" data-source="post: 2175486" data-attributes="member: 429870">I can'r comment on gastric dumping as this is the first time I ever heard of it. (But I'll be checking it out.) I do believe I suffer from gastroparesis (GP). My highest A1c (that I know of) was 41 = 5.9%, which you will know counts as pre-diabetic in the US, but not in the UK where the cutoff is 42 = 6%. That was over 2 years ago. A few months of gradually reducing carbs brought my A1c down to 38 = 5.6% and there it has stalled. Cutting carbs to the bone has not reduced it any more. I believe that diabetic complications do set in long before official diabetic bgs are reached. Sadly doctors are not in the business of making connections. For years I was asking why I, with an obsessively healthy Mediterranean style diet and a reasonable exercise habit, not smoking or drinking and for many years consuming little or no caffeine, should be suffering a cluster of serious health problems. I now know that raised bgs damage nerves. This includes the great vagus nerve. Why did I suffer from vagal AF and digestive problems? Because the vagus nerve controls both.I don't think eating carbs leads to gastroparesis episodes, except indirectly by causing high bgs. Perhaps eating lots of protein and fat instead of carbs, known to delay digestion, leads to worse GP episodes? Since I began eating lower carb, my digestion has improved but it is by no means cured. Dr Bernstein says that GP can be cured by perfect bgs but it takes years.  I will not be able to achieve perfect bgs but I do think that at least some of my health problems will gradually improve if I keep my bgs as low as I can.It seems to me you are managing your bgs fantastically well. Nil desperandum! Dr B has proved that advanced kidney damage can be cured. Your digestive upsets sound horrid, but with early dinners and persistent low carbing, I do believe your symptoms will gradually abate.Edited by Mod</blockquote>

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