Diabetic gastroparesis leads to the final outcome of a patient with a more pronounced feeling of bloating, inability to eat and eventually death due to systemic failure. Diabetic gastroparesis is a relatively common complication of autonomic neuropathy in diabetic patients. Since autonomic nerves are regulated by food, gastrointestinal motility is significantly accelerated after eating, which will facilitate the digestion and absorption of food. However, due to the long history of diabetes and poor blood sugar control, the sensitivity of autonomic neuropathy to food is significantly reduced. Therefore, the patient’s abdominal distension is more obvious after eating, and eating is significantly reduced, which will eventually lead to the patient’s inability to eat. The main treatment is to control the blood sugar on one hand; on the other hand, to nourish the nerves, and finally, to improve the whole gastrointestinal motility drugs, and the symptoms of gastroparesis will be improved after timely treatment.