Hi ! Good evening. I am Dr Shareef answering your query. If you are a diabetic and not taking any medications, I being a doctor would advise you to first consult a medicine specialist at the earliest. Diabetes if not controlled could affect any of the systems of body from head to toe. The loss of weight could be attributed to an uncontrolled sugar level in your blood. The leaky gut could also be due to uncontrolled sugar. Therefore, you should consult a physician at the earliest for the treatment of Diabetes along with the dietary modifications which might be needed for you. Regarding the GERD aspect the following might prove to be helpful: 1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity. 2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food 3) Regular routine exercises like morning walk depending on your medical fitness. 4) Prescription for a prokinetic agent and a proton pump inhibitor (Rabeprazole) for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.