Evaluation of Diagnostic Methods and Dietary Treatment of Diabetic Gastroparesis

Comparing Treatment With Food of Small Particle Size and Food of Large Particle Size in Subjects With Diabetic Gastroparesis. Evaluation of Diagnostic Methods. Determination of the Motility of Gastric Emptying After Intervention

The objective of the study is in subjects with Insulin Treated Diabetes Mellitus type 1 or 2 and gastroparesis:

• validate radiopaque markers with fluoroscopy with gastric scintigraphy method
• study the difference of metabolic control including the frequents of hypoglycaemia, gastrointestinal symptoms, quality of life and nutrition state during dietary treatment of food of small particle size compared with food of large particle size
• validate the radiopaque markers method and measurement of the blood glucose and gastrointestinal symptoms after a test meal, against the gastric scintigraphy
• determine if the function of gastric emptying can be improved after intervention

Inclusion Criteria:

• diabetes type 1 or 2 and gastroparesis
• must be able to understand oral and verbal instructions

Exclusion Criteria:

• gastrointestinal surgery
• other gastrointestinal disease
• S-Creatinine >150 umol/L
• mental disease
• cerebral disease
• collagen disease
• untreated endocrine disease
• anticholinergic drugs
• psychopharmacologic drugs
• opiates
• addiction to drugs as alcohol and narcotics
• vegetarian