Gastroparesis and Diabetes

Gastroparesis is a disorder in which the stomach takes too long to empty its contents. It is most often a complication of Type 1 Diabetes. Gastroparesis happens when nerves to the stomach are damaged or stop working.

Quick Facts:

Symptoms:

  • Nausea
  • Vomiting
  • An early feeling of fullness when eating
  • Weight loss
  • Abdominal bloating
  • Abdominal discomfort 

Common Causes:

  • Diabetes
  • Post viral syndromes
  • Anorexia nervosa
  • Medications
  • Smooth muscle disorders such as amyloidosis and scleroderma
  • Nervous system diseases, including abdominal migraine and Parkinson’s disease
  • Metabolic disorders, including hypothyroidism

Diagnosis:

  • Medical History Review and Review of Symptoms
  • Physical examination
  • Upper endoscopy
  • Ultrasound
  • Barium x-ray
  • Blood tests
  • Other tests, as deemed appropriate 

Common Treatments:

The primary treatment goal for gastroparesis related diabetes is to regain control of blood glucose levels. Treatments include:
  • Insulin
  • Oral medications
  • Changes in diet
  • Feeding tubes and intravenous feeding in severe cases 

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