Diabetes and Chronic Constipation: Why It Happens and What You Can Do About It

If you’re struggling with diabetes management, you already know it’s a complex disorder that can affect your kidneys, eyesight, circulation, brain, and heart.

Add your digestive tract to that list since poorly managed diabetes can lead to significant gastrointestinal issues, including chronic constipation.

Board-certified gastroenterologist Dr. Prem Chattoo at Hudson River Gastroenterology serves NYC with expert care for digestive ailments such as diabetes-induced constipation.

Read more from Dr. Chattoo and his team regarding the link between diabetes and chronic constipation and tips for managing it.

The connection between diabetes and chronic constipation

Chronic constipation is a common issue for people with diabetes, primarily due to:

Nerve damage (autonomic neuropathy)

Diabetes can cause nerve damage throughout the body, including the nerves that regulate the digestive system.

When these nerves are damaged, digestion may slow, leading to constipation. This is more common in people with long-standing diabetes or poorly controlled blood sugar levels.

Medication side effects

Some medications prescribed to manage diabetes, such as certain antidiabetic drugs, pain relievers, or even blood pressure medications, can cause constipation.

Diet

Diet is crucial in managing diabetes and digestive health. Highly processed foods, elevated blood sugar levels, and lack of dietary fiber can cause constipation.  

Dehydration

When the body doesn’t have enough fluid to meet its needs, the large intestine absorbs it from the foods you eat. This is a common cause of chronic constipation.

It’s especially problematic with poorly managed diabetes since high blood sugar causes dehydration. Conversely, dehydration can also increase blood sugar levels.    

Tips for managing diabetes-related constipation

Try these tips for managing chronic constipation:

Control your blood sugar

The better you control your blood sugar, the less likely you are to experience complications like neuropathy. Regular monitoring, taking your medications as prescribed, and following a balanced diet can help keep your blood sugar in the target range.

Increase fiber intake

Fiber-rich foods can help regulate bowel movements and soften stools. Include 25–30 grams of fiber daily by including whole grains, fruits, vegetables, legumes, and nuts in your diet. Increase fiber gradually to avoid bloating, gas, or diarrhea.

Hydrate

Drink plenty of water throughout the day to help keep stools soft and easier to pass. You may need to drink even more fluids if your blood sugar is high.  

Get moving

Exercise helps activate the muscles in your intestines, promoting movement through the digestive system. And you needn’t run a daily marathon to claim the benefits since a brisk walk can have a positive effect.

Schedule a visit

Don’t hesitate to schedule a visit if constipation becomes a frequent issue or if you experience abdominal pain, nausea, vomiting, or other concerning symptoms.

Call Hudson River Gastroenterology or use our online service to request an appointment with Dr. Chattoo today.

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