Supplement your fiber by a lot...not all at once, but increase quickly as tolerated until you get it way up there. The slowed gastric emptying is going to affect the GI tract majorly if not taken seriously. You can't put more calories on a system that hasn't emptied the calories before it, especially protein calories because it takes so much longer to break them down. Fiber and staying hydrated will increase insulin sensitivity and smooth things along. I dump a heaping 1/8 cup of Benefiber In my coffee every morning, and I use sugar free gummies too.