1/08/2014

If you have diabetes and acid reflux, also called GERD, and you take medication to reduce acid there are some things you should know.



A. There are health risks to taking GERD medications long term



B. There is a good possibility you could control GERD with the right food and nutrition changes



Did you know acid reflux medications could cause the following problems?



1. Magnesium Deficiency



There is also a strong association between low magnesium and insulin resistance, the main problem of type 2 diabetes. The FDA earlier this year released information about how taking these medications for longer than a year can cause low magnesium, which can lead to leg spasms, heart arrhythmias and seizures.



2. Pneumonia



If you have diabetes and get pneumonia it may be more severe with greater risk of complications, and your body may take longer to heal.



3. C-diff



Short for Clostridium Difficile, this is bacteria that cause severe diarrhea and inflammation in the colon. Dehydration is the biggest risk with diarrhea and diabetes, and if you have high blood sugars you can become dehydrated much quicker.



4. Osteoporosis or Bone Fractures



People with diabetes are may also have low vitamin D levels or be taking Actos, both of which may increase the risk of bone fractures.



5. Vitamin Deficiencies such as B12



People with diabetes who take metformin are also at risk for low B12 levels.



6. Bacterial Imbalance leading to Digestive Problems



People who have had diabetes for many years can have slow digestion due to nerve damage. Keeping a healthy balance of intestinal bacteria is important for immune system, absorbing nutrients and avoiding diarrhea and constipation.



What you can do if you have to take medication for acid reflux.



Eat healthy foods and whole foods for immune strength. Nuts are the best food source for magnesium.



Eat yogurt daily to replenish good bacteria or take a probiotic supplement.



Ask your doctor if B12 and D levels have been checked.



Ask your doctor about trying to get off the acid reflux medications. These medications are really only meant to be taken for a short time of a few weeks but most people just stay on them. I would NOT recommend going off the medication until you have made nutrition changes and are discussing changes with your doctor.



GERD may be unrelated to acid in stomach. Some evidence suggests that the heartburn symptoms of reflux are not caused by acid in stomach burning the esophagus, but rather by an immune response.
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