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. Author manuscript; available in PMC: 2012 Jan 1.
Published in final edited form as: Clin Gastroenterol Hepatol. 2010 Oct 15;9(1):5–e7. doi: 10.1016/j.cgh.2010.09.022

Table 1.

Principles in the Management of Diabetic Gastroparesis

  • Restore hydration, electrolytes, nutrition (enteral is preferable to parenteral) and glycemic control

  • Antiemetic with caution (due to interactions in drugs involved in CYP 450 metabolism)

  • Current prokinetics: 5-HT4 agonists, dopamine antagonists

  • Pain relief without narcotics: tramadol 50–75mg

  • Surgery and venting gastrostomy; Botox injections

  • Gastric electrical stimulation

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