Is diabetic gastroparesis serious?

Diabetic gastroparesis may be more serious. Usually, gastroparesis in diabetic patients is mainly a complication caused by poor glycemic control, which is one of the manifestations of autonomic neuropathy of the digestive system, and patients may experience epigastric distension, pain, nausea, vomiting, anorexia and other symptoms. Gastric outlet obstruction or other organic causes need to be excluded before diagnosing gastroparesis. Electrogastrograms, scintigraphic scans to determine gastric emptying (to determine the time of emptying of solid and liquid food), etc. help in the diagnosis. When diabetic patients present with gastroparesis, they should be guided by specialized doctors, firstly, actively treating diabetes, adjusting the dosage or type of hypoglycemic drugs, and actively controlling blood glucose. Secondly, low-fiber and low-fat diets should be chosen, drugs that weaken gastrointestinal motility should be avoided, and short-term use of gastric motility drugs (e.g. metoclopramide, etc.) may be considered. Patients with diabetic gastroparesis need to seek timely medical attention and standardized treatment under the guidance of a doctor to avoid delays.