Medical research suggests that individuals with diabetes are more likely to develop gallstones than the average person, but we don’t exactly know why. There are plenty of theories out there as to why the two conditions are linked. For starters, some experts believe that obesity is linked to gallstone disease, and obesity generally plays a role in the development of diabetes. Others theorize that people with diabetes have higher levels of a type of fat called triglycerides, and some people believe triglycerides play a role in gallstone development.

Preventing and Treating Gallstones

A third theory suggests that gallstones form as a result of autonomic neuropathy. This condition, which is a result of diabetes, affects the nerves that control the movement of the bowels and gallbladder, and researchers believe the neuropathy affects the gallbladder’s ability to effectively release bile. Research performed on mice suggests another potential reason. Experts say that insulin-resistant mice noticed increases in the amount of cholesterol in their bile, which may lead to the formation of gallstones.

Diabetics have a lot of health issues to monitor, but it’s clear that gallstones shouldn’t be overlooked. Not surprisingly, the key to preventing gallstone development is to keep a close eye on your diabetes. If your diabetes is under control, you are less likely to develop neuropathy or see a spike in triglycerides, and weight management can help stave off obesity.

Gallstone Surgery

If you have diabetes, you’ll want to be aware of the symptoms of gallstones. If you experience any of the following symptoms, it could be a sign you’re dealing with gallstones:

• Sudden or sharp pain in the upper right abdomen
• Pain that gets worse after eating
• Nausea or vomiting

Oftentimes treatment of gallstones will begin with conservative treatment. Some of these options include diet modifications, exercise, better blood sugar management and medication. If those treatment options fail, surgery may be necessary. Individuals with diabetes are considered high-risk for some surgical operations, so surgery isn’t going to be the first option. Should your surgeon decide that an operation is your best course of action, they will walk you through all your options, explain what you need to do in the days leading up to surgery and help set expectations for life after surgery. For more information about dealing with gallstones as a diabetic, contact a gallstone surgeon in your area.