@peggyjean, I feel the same way about gastros in my area! And I'm not the only one who's unhappy with the GI peeps, I've noticed several others around the USA are equally disappointed in GI care.

As someone with renal failure, diabetes, and gastroparesis and with the three diets in conflict with one another, I'm having to do quite a balancing act with meal planning, food choices, insulin management, etc.

GP is serious enough in and of itself but not immediately life threatening (for now) while renal failure and diabetes can be. So I have had to exceed recommended fiber on the GP diet, for example, in favor of kidney friendly and diabetic friendly foods which have more fiber than a GP diet recommends. At my age I have dentition problems as well, so soft foods work for me but I've had to get creative with acceptable seasonings added to baby food turned into soups which are renally acceptable and don't interfere with blood sugars and/or insulin.

Because I had to switch to a vegetarian diet to slow down the progress of CKD, getting enough protein is a challenge because GP acceptable breads with enough protein (added to plant protein) put me over the diabetic diet carb limit.

Other foods I can tolerate which are good for a renal diet and a diabetic diet can be higher fat than recommended on a GP diet.

I appreciate all the help and suggestions I can get.