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Type: Journal article
Title: Nutrition therapy for diabetic gastroparesis
Author: Gentilcore, D.
O'Donovan, D.
Jones, K.
Horowitz, M.
Citation: Current Diabetes Reports, 2003; 3(5):418-426
Publisher: Current Science Inc.
Issue Date: 2003
ISSN: 1534-4827
Statement of
Diana Gentilcore, Deirdre O’Donovan, Karen L. Jones, and Michael Horowitz
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: Humans; Gastroparesis; Autonomic Nervous System Diseases; Diabetic Neuropathies; Diabetes Complications; Blood Glucose; Gastric Emptying
Description: The original publication is available at Copyright © 2003 by Current Science Inc.
RMID: 0020031895
DOI: 10.1007/s11892-003-0087-9
Appears in Collections:Medicine publications

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