Stephen J. Schueler, M.D.

Overview Symptoms Evaluation Treatment drugs feeding tube neurostimulator parenteral nutrition questions for doctor specialist Home Care diet hiccups self monitoring taking control warning signs Complications Underlying Cause

Diabetic Gastroparesis Treatment

Treatment for diabetic gastroparesis may include weight loss, vitamin supplements, diabetic diet, and small, but frequent meals. The diet should be low in cholesterol, fat, and fiber. Medications may be given to control nausea and stimulate stomach emptying.

Treatment for diabetic gastroparesis may include:

Medications that may be used to treat diabetic gastroparesis include:

Treatment for severe diabetic gastroparesis may include:

For more information:

Diabetic Gastroparesis Drugs

Medications that may be used to treat diabetic gastroparesis include:

Diabetic Gastroparesis Feeding Tube

A feeding tube may be used when gastroparesis prevents necessary nutrients and medications from reaching the bloodstream. The surgical procedure is called a jejunostomy. During a jejunostomy, a feeding tube is inserted through the skin into the small intestine.

Diabetic Gastroparesis Neurostimulator

A gastric neurostimulator, similar to a pacemaker, has been developed to assist people with gastroparesis. The pacemaker is a battery-operated, electronic device that is surgically implanted. It emits mild electrical pulses that stimulate the stomach to contract, pushing food into the small intestine.

Diabetic Gastroparesis Parenteral Nutrition

Parenteral nutrition is a method of delivering nutrients directly into the bloodstream, which completely bypasses the digestive system. This requires placing a thin intravenous tube called into a large vein in the chest. These tubes are called percutaneous intravenous catheter lines.

For feeding, a bag containing special liquid nutrients and medication is attached to the catheter. The fluid enters the bloodstream through the vein. Parenteral nutrition is used only for severe gastroparesis and malnutrition.

Diabetic Gastroparesis Questions For Doctor

The following are some important questions to ask before and after the treatment of diabetic gastroparesis.

Questions to ask before treatment:

  • What are my treatment options?
    • Is surgery an option for me?
  • What are the risks associated with treatment?
  • Do I need to stay in the hospital?
    • How long will I be in the hospital?
  • What are the complications I should watch for?
  • How long will I be on medication?
  • What are the potential side effects of my medication?
  • Does my medication interact with nonprescription medicines or supplements?
  • Should I take my medication with food?

Questions to ask after treatment:
  • How do I change my diet?
  • Are there any medications or supplements I should avoid?
  • When can I resume my normal activities?
  • When can I return to work?
  • Do I need a special exercise program?
  • What else can I do to reduce my risk for complications?
  • How often will I need to see my doctor for checkups?
  • What local support and other resources are available?

Diabetic Gastroparesis Specialist

Physicians from the following specialties evaluate and treat diabetic gastroparesis:

Continue to Diabetic Gastroparesis Home Care

Last Updated: Dec 9, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Diabetic Gastroparesis References
  1. Gentilcore D, O'Donovan D, Jones KL, Horowitz M. Nutrition therapy for diabetic gastroparesis. Curr Diab Rep. 2003 Oct;3(5):418-26. [12975033]
  2. Kong MF, Horowitz M. Diabetic gastroparesis. Diabet Med. 2005 Sep;22 Suppl 4:13-8. [16109013]
  3. Olson DE, Norris SL. Diabetes in older adults. Overview of AGS guidelines for the treatment of diabetes mellitus in geriatric populations. Geriatrics. 2004 Apr;59(4):18-24. [15086070]
  4. Smith DS, Ferris CD. Current concepts in diabetic gastroparesis. Drugs. 2003;63(13):1339-58. [12825960]
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