OMG, Erin, that's a lot to deal with, sweetie! Here's a couple of thoughts - although I agree with you wholly - you need to see a dietician. Take all of your dietary needs for all 4 illnesses and start highlighting foods that are the same. 1. - Iron supplements may actually HELP if you're prone to Diarrhea. It will "firm things up". 2. Extremely low fat is good for all of your conditions - so that's a plus. Finally, something that agrees. 3. If you can't have processed carbs, I would recommend trying oatmeal and brown rice. They're technically on the "insoluble" side, but are the mildest forms, and you're likely to best tolerate them. 4. What is insulin resistant? I really don't know. I know my father has diabetes, and has no gall bladder either. He follows a low fat low sugar diet - those for people with heart and diabetes issues (he had a triple bypass) My cousin has diabetes and IBS, and she has so far been OK with processed carbs in controlled amounts. She is just careful to check her sugar regularly. Especially after meals. As for the IBS book - it does have recipes that have fair amounts of sugar, and soluble fibre. Heather has been generous enough that she has posted practically all the dietary info from her book on the website - so I would read it all very thoroughly. 5. I think that a fiber supplement is going to be CRUCIAL for you. I would try Heather's Acacia, Benefiber, Equalactin, Citrucel. If you've got it coming out both ends, avoid anything with psyllium fibre - it is a strong irritant to the GI tract. The fibre supplement will give you the SF cushion you need, without much of the processed carbs and sugar associated with breads, etc. I cannot stress this enough. I think if you have ANY hope in getting this all figured out, a fibre supplement is number one. 6. TONS of fluids never hurt anyone. I highly recommend peppermint tea. It's great keeping the colon relaxed and not in spasm (D or C), and it can also relieve pain and tummy upset. Try several strong hot cups a day. Let me know what you think with all of this. We're all here to help you. I'm a moderator here - so if there's anything I can do for you, let me know. You can also e-mail me at hansolo890@hotmail.com hugs, Alicia.
-------------------- Formerly HanSolo. IBS, OCD, Bipolar, PTSD times 3.