Definition of "Diabetic Gastroparesis"

Definition of
Photo Credit Jeffrey Hamilton/Lifesize/Getty Images

Diabetes can lead to many different health complications, including a condition called gastroparesis. Diabetic gastroparesis occurs when there is a delay in gastric emptying according to the National Digestive Diseases Information Clearinghouse. Prevention of gastroparesis is one example of why it is important for diabetics to maintain control of their blood sugars.

Cause

Over time, having high blood sugars can result in nerve damage. One nerve that is at risk for damage is the vagus nerve which helps to control digestion. Damage to this nerve results in problems with digestion. Unfortunately, the vagus nerve is not the only nerve that can be damaged by chronically high blood sugar levels. Other conditions, like peripheral neuropathy are caused by damage to nerves in the lower extremities.

Symptoms of Diabetic Gastroparesis

Having gastroparesis can be an unpleasant and painful experience. Persons with this condition have different levels of symptom experiences. Some report heartburn, bloating or gas. Others report that after a few hours of eating food, they vomit. Gastroesophageal reflux, poor appetite, abdominal pain and nausea are other common symptoms.

Diagnosis of Gastroparesis

There are different tests that a doctor may order to confirm a diagnosis of gastroparesis. According to the National Digestive Diseases Information Clearinghouse, a doctor may rule out other problems first by performing an endoscopy, ultrasound or barium X-ray of the stomach. When these are ruled out, tests to show gastric emptying can be performed to confirm a diagnosis.

Reasons to Get Gastroparesis Under Control

Diabetic gastroparesis can have severe complications. Gastroparesis can lead to blockage of food into the small intestines, bacterial infections and weight loss according to the Mayo Clinic and National Digestive Diseases Information Clearinghouse. In addition, blood sugars in a person with gastroparesis can be difficult to control since stomach emptying can be unpredictable.

Solutions Available

There are treatments that a doctor may order for diabetic gastroparesis. Oral medications such as a medicines called Metoclorpromide or Erythromycin might assist with promoting gastric emptying. In addition, having smaller meals and decreasing high fiber or high fat foods might help with promoting gastric emptying and preventing severe symptoms. Walking after a meal, having water with a meal and having pureed or liquid foods may also assist according to the Mayo Clinic.

Diabetic Control

Persons who are diabetic should do the best that they can to work with their doctor in order to control their blood sugars. This might include monitoring blood sugars regularly, changes in diabetes medication and having a strict diet. Working closely with your doctor and a nutritionist in order to get your blood sugars back on track if you have diabetic gastroparesis.

References

Article reviewed by JPC Last updated on: Dec 4, 2010

Must see: Photo Galleries