First-line Treatment for "Diabetic Stomach"


Symptoms of diabetic gastroparesis include nausea, vomiting, early satiety, and bloating. Where should management start?

Gastroparesis affects about 40% of patients with type 1 diabetes and up to 30% of patients with type 2 diabetes. Typical symptoms are nausea, vomiting, early satiety, bloating, and postprandial fullness.

Which of the following is the first line in management of a patient with diabetic gastroparesis?

A. Optimization of glucose levels
B. Initiation of a promotility agent
C. Screening for vitamin and mineral deficiencies
D. Initiation of post-pyloric feeding
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