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Current Diabetes Reports

, Volume 3, Issue 5, pp 418–426 | Cite as

Nutrition therapy for diabetic gastroparesis

  • Diana Gentilcore
  • Deirdre O'Donovan
  • Karen L. Jones
  • Michael Horowitz
Article

Abstract

The management of diabetic gastroparesis often represents a significant clinical challenge in which the maintenance of nutrition is pivotal. Gastric emptying is delayed in 30% to 50% of patients with longstanding type 1 or type 2 diabetes and upper gastrointestinal symptoms also occur frequently. However, there is only a weak association between the presence of symptoms and delayed gastric emptying. Acute changes in blood glucose concentrations affect gastric motility in diabetes; hyperglycemia slows gastric emptying whereas hypoglycemia may accelerate it; blood glucose concentrations may also influence symptoms. It is now recognized that gastric emptying is a major determinant of postprandial glycemia and, therefore, there is considerable interest in the concept of modulating gastric emptying, by dietary or pharmacologic means, to optimize glycemic control in diabetes.

Keywords

Glycemic Control Gastric Emptying Cisapride Blood Glucose Concentration Gastroparesis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Current Science Inc 2003

Authors and Affiliations

  • Diana Gentilcore
  • Deirdre O'Donovan
  • Karen L. Jones
  • Michael Horowitz
    • 1
  1. 1.Department of MedicineRoyal Adelaide HospitalAdelaideAustralia

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