G/PEG Tube Feeding Option
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Thanks Marion and Susan–I appreciate all of your support, help and advice. My grandma actually is not a diabetic (was probably borderline before all of this), but I am a little worried about her glucose going up so much–granted, it’s not incredibly high, but I would like to avoid using insulin at all. I think we might try switching to Glucerna or something like it.
Thanks again,
John
John – I cannot add anything to what Marion had said, but wanted you to know that I am thinking about you and hoping you find the right mix for calories, nutrition vs. sugar content. Blessings, Susan
John….I have heard that Abbott’s Pro sure has been used for diabetics. I don’t however; know whether it contains less sugar than the Jevity 1.2 formula. Others may come along and help us out with this one or, hopefully can come up with some more suggestions.
I am sending all my best wishes your way,
MarionThanks Marion! We are very glad that everything worked out the way that it did. She is on a Jevity 1.2 Cal formula, which seems to be pretty good, but I am a little worried about the sugar load—she needed 3 units of insulin tonight after blood glucose spiked at 153. I am concerned about administration of insulin, because I know that insulin/insulin growth factor receptor is a target of many new therapies, and IGFR overexpression has been identified in CC. Just hoping that we are able to pick and stay on the right formula that is high calorie, high protein and low sugar!
Would appreciate any insights on formulas/options that worked well.
Thanks again for your support,
John
John….excellent news. Your grandma was able to receive the best of all options and her physician was able to place the tubing endoscopically. I am thrilled for you.
Best wishes,
MarionGood news so far…the gastroenterologist was able to endoscopically place an NG tube past the hernia and into the duodenum, so luckily, we do not have to worry about a G tube and can still get the nutrition needed. Our oncologist was reluctant to try TPN, as he was worried that the risk of fungal infection was too high, and that the risk of liver toxicity was also too great, while the nutrition is not as good as enteral options.
Thanks for your help–it is much appreciated!
John
jebben…..I am sorry to hear that you have to make a decision, but it appears that your grandma needs to have nutrition and the options are limited for her. Unfortunately, everything available will be invasive to her body. The question is which risk to take. I am wondering, has anyone considered total parenteral nutrition, TPN?
Best wishes,
MarionHello,
Wondering if anyone has any experience with G tubes/PEG tubes–these are tubes that are inserted directly into the stomach by a small incision done under general anesthesia. We had been hoping to do an NG (through the nose) tube, but unfortunately, my grandma’s hiatal hernia (stomach is bunched up above the diaphragm) makes it difficult to do this.
We are worried about the G tube because she has ascites, and we had heard that poking through the ascites could possibly seed tumor elsewhere (if there are malignant cells in the ascites).
We are very torn and do not know what to do. Our doctors tells us that the risk is low of spreading the cancer, but any risk of that seems completely unacceptable to us. At the same time, she needs nutrition and cannot eat enough.
Does anyone have any other ideas/options? HELP!!!!!
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