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HEALTH MATTERS Diabetes And Acid Reflux By Kepha Nyanumba A cid reflux, also known as GERD, is a common problem, affecting millions of people worldwide. The condition occurs when contents from your stomach back up into your esophagus, causing stomach acid to irritate the lining of your esophagus. While acid reflux can affect anybody and anytime, studies have shown that the condition is common in diabetics who have poor glucose control, and is mostly caused by the damage of the vagus nerve in the digestive system. For most people, acid reflux is a manageable condition. If left untreated, though, acid reflux can lead to serious complications. The condition causes scarring over time as the tissue in the esophagus tries to heal itself. Scar tissue can cause the esophagus to become too narrow (esophageal stricture). This can make swallowing difficult and painful. Stomach acid can enter into your lungs causing serious harm and lung damage that can make you more likely to have chest congestion and wheezing. What Are the Symptoms of Acid Reflux? Diabetes Slows Your Digestion… Diabetes is a systemic disease that may affect many organ systems, and the gastrointestinal tract is no exception. As with other complications of diabetes, the duration of the disorder and uncontrolled glucose is associated with more severe gastrointestinal problems. Acid reflux happens when your lower esophageal sphincter doesn’t tighten or close properly. This causes digestive juices and other contents from your stomach to rise up into your esophagus. High blood sugar can damage nerves throughout the body. One of them is the vagus nerve, which controls how quickly your stomach empties. When it's damaged, your digestion slows down and food stays in your body longer. This condition can make you have trouble controlling blood sugar, feel full quickly when eating and get heartburn and acid reflux. Some of the common symptoms include uncomfortable burning feeling in your chest, which can radiate up toward your neck. This feeling is often known as heartburn. If you have acid reflux, you might develop a sour or bitter taste at the back of your mouth. It might also cause you to regurgitate food or liquid from your stomach into your mouth. When the body moves food from the stom- ach at a slow pace, bacteria has much more time to grow and spread on ingested food, and sometimes the body's natural defenc- es, such as stomach acid, is not enough to combat it, resulting in bacterial infections. In addition, people with uncontrolled blood glucose may be less capable of fighting off infections due to their weak immune sys- tem. 70 MAL32/19 ISSUE When the body moves food from the stomach at a slow pace, bacteria has much more time to grow and spread on ingested food, and sometimes the body's natural defences, such as stomach acid, is not enough to combat it, resulting in bacterial infections. In addition, people with uncontrolled blood glucose may be less capable of fighting off infections due to their weak immune system. Acid reflux and sleep quality People who have diabetes often have poor sleep habits, including difficulty falling asleep or staying asleep. Some people with diabetes get too much sleep while others have sleep deprivation. Sleep plays a vital role in good health and well- being throughout your life. The way you feel while you're awake depends in part on what happens while you're sleeping. During sleep, your body is working to support healthy brain function and maintain your physical health. In children and teens, sleep also helps support growth