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https://hdl.handle.net/2440/33124
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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 1539-0829 |
Statement of Responsibility: | 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 www.springerlink.com Copyright © 2003 by Current Science Inc. |
DOI: | 10.1007/s11892-003-0087-9 |
Published version: | http://dx.doi.org/10.1007/s11892-003-0087-9 |
Appears in Collections: | Aurora harvest Medicine publications |
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