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Gastroparesis is defined as abnormal delay in gastric emptying in the absence of a mechanical obstruction. It represents a common and under-recognised problem in individuals with either type 1 diabetes (T1DM) or type 2 diabetes (T2DM) that can have a significant impact on quality of life.
This article seeks to explain the nature of gastroparesis and its clinical recognition and management.
Gastroparesis and diabetes
Gastroparesis is a recognised long-term complication of both T1DM and T2DM arising from an autonomic neuropathy, typically associated with poor glycaemic control.1
Other symptoms of autonomic neuropathy (see table 1) and microvascular complications of diabetes – retinopathy, nephropathy and neuropathy – frequently co-exist with gastroparesis.2
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