Gastroparesis affects how the stomach moves food into the intestines and leads to bloating, nausea, and heartburn. When diabetes causes the condition, doctors call it diabetic gastroparesis. In this article, we provide an overview of diabetic gastroparesis, including its causes, symptoms, complications, and treatments. Diabetic gastroparesis refers to cases of the digestive condition gastroparesis that diabetes causes. During normal digestion, the stomach contracts to help break down food and move it into the small intestine. Both type 1 diabetes and type 2 diabetes can cause nerve damage. One of the nerves diabetes may damage is the vagus nerve.
In addition to the medical history and physical examination, various diagnostic techniques can be used. However, it was not derived from patient focus groups nor was it initially designed to quantify pain, which has limited its application in some settings. Gastroparesis, sometimes called stomach paralysis, is a condition in which the mechanisms of the stomach do not work properly, making digestion Footnotes Enhanced Digital Features To view enhanced digital features for this article go to It is a noninvasive, easy-to-perform method and does not involve radiation exposure. They may be used in DGP when all other drugs have failed to provide symptom relief. Reduced insulin and IGF-I signaling, not hyperglycemia, underlies the diabetes-associated depletion of interstitial cells of Cajal in the murine stomach. Keep the foods simple – soft and easy to chew. A baseline electrocardiogram is recommended to assess corrected QT intervals, and this should be repeated as indicated. Process of Gastric Emptying Normal gastric emptying results from the integration of tonic contractions of the fundus, phasic contractions of the antrum and the inhibitory forces of pyloric and duodenal contractions, which requires complex interactions between smooth muscle, enteric and autonomic nerves, and specialized pacemaker cells known as the interstitial cells of Cajal ICC Fig.
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Gastroparesis, also called delayed gastric emptying, is a disorder in which the stomach takes too long to empty its contents. It often occurs in people with type 1 diabetes or type 2 diabetes. Gastroparesis happens when nerves to the stomach are damaged or stop working. The vagus nerve controls the movement of food through the digestive tract. If the vagus nerve is damaged, the muscles of the stomach and intestines do not work normally, and the movement of food is slowed or stopped. Diabetes can damage the vagus nerve if blood glucose levels remain high over a long period of time.