@cehunt57, sounds like we're almost twins as far as chronic illnesses and diet juggling are concerned. I, too, count carbs (and phosphorus and potassium and sodium and protein and fiber and fat!) Am on 1 unit short-acting insulin per 5 grams of carbs before every main meal and some smaller meals if those have more than 15 carbs, and I take long-acting insulin at bedtime. I even weigh things like avocado slices and peanut butter to make sure I'm eating correct portions.

Your suggestion of Meals On Wheels is a good one except I don't eat any animal products other than free range eggs and our local Meals On Wheels provider does not offer vegetarian or vegan meals. I also don't tolerate a lot of soy which is in nearly every senior meal here. After weeks of inquiries I finally got some nutritional information and learned these meals are absolutely loaded with sodium.

I used to deliver Meals On Wheels, too, through a local church, but the people who used to prepare those are long gone and the counties have farmed out the meals to a commercial service.

I am now living on a half of a vanilla Boost with a banana for breakfast, juice and peanut butter crackers for a small meal between breakfast and lunch takes awhile to break off tiny bites and "gum" them in order to get them down,) then mashed avocado and soft bread for lunch or a peanut butter and jelly sandwich. I have another juice and PB cracker meal between lunch and supper, a whole Boost for supper, more peanut butter at bedtime or some baby food. I can't tolerate cereals at all any more, sad to say. And vegan protein patties or nuggets or crumbles are out even if they're soy free because my system no longer can tolerate much of anything really solid.

This plan is higher in fat than it should be but I can't get complete proteins otherwise since with GP I can't eat the higher-protein veggies any more because of their fiber, carbs, etc.

I'm anemic but iron supplements make me quite ill so I'm sort of in a Catch-22.

My PCP, Neph, and GI peeps all say my unstable blood sugars are related to the gastroparesis and I also believe the most of the fluctuations in glucose are related to slow or fast absorption related to GP. Docs think I might be able to postpone a feeding tube for another year if I'm lucky.

Sorry to burden you and everyone else with all this. It is what it is. And even though I have researched my buns off (and am pretty good at that even if I do say so myself, LOL,) I'm still open to suggestions. If it's something I've tried, I can rule it out, if it's something new, it's definitely worth consideration.

Hugs to you!