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Message: <blockquote data-quote="oak" data-source="post: 866384" data-attributes="member: 185899">Thanks [USER=48386]@Indy51[/USER] A lot of this is just thinking out loud.I had seen similar sites to above and Dr Siebecker's concurs with my specialist at The Royal Marsden, which is a cancer specialist hospital in London. (i see you are in Australia) I am under a multidisciplinary team for long term side effects of cancer treatment, in addition to diabetes and arthritus. (I find it curious that all three have links to viral infections)I was prescribed the Rifaxamin by the hospital and it was working well but in the UK your GP are limited as to the drugs the can prescribe. Rifaxamin is one of those restricted drugs, The trials I was put on by the hospital worked well and all the rest have messed things up immensely. from light sensativity, sending me to sleep and raising my BG levels. So now we are at the appeal stage.Rifaxamin is great for me as it is not absorbed into the blood stream and works before it hits the large bowel which the cancer messed up. It does need to be repeated one week a month long term, but after a while you reduce the amount of days eg from 7 days a month to 5 days.Many antibiotics are known to destroy the bacteria in the gut, hence the diarrhea, I recently had a dose of amoxyllan for something else the scoured me.All this and my blood sugar levels are as you describe, up and down, and once I start the day with a high fasting BG level I seem doomed to get it down to a reasonable level before bed. I have a combined form of SIBO, constipation followed by diarrhea, usually on a 3 day cycle.I am wondering if the exenatide I take is appropriate as I was advised that I had to eat some carbs with it. Not sure if this is the same advice for everyone, but then we are all unique.Because of the reduced carb diet and as a consequence reduced fibre I am also prescribed Normacol which is a plant based non digestible carb used to replace the fibre in my diet. All gets a bit messy with different contradictorary diets for different conditions. I am now on a reduced fibre (due to abdominal surgery) high fibre (diabetes) low fermentable carbs (SIBO) diet. What I do is eat a high unprocessed protein diet, with leafy vegetables, raspberries and cooking apples, plain unsweetened youghurt, butter. and as few carbs as I think is safe. I cook from scratch. The full tests for SIBO are quite extensive. The breath test, not great for diabetics as it involves drinking a high glucose concentrate drink, is not conclusive. I also had a colonoscopy and and gastrocopy (endoscopy) as well as x-rays, scans, a multitude of blood tests, stool tests and questionnaires.  If you can find a solution without the tests I would reccommend it.I see you are active in the forum and a long time member, so if you remember anyone who has any experience of this type of thing I would appreciate being pointed in their direction.best wishes</blockquote>

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