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Cited by 31Gastrointestinal motility and disordersDiabetes Management and ResearchDiabetes Treatment and Management

Continuous Glucose Monitoring in Gastroparesis

Ramzan, Zeeshan, Duffy, Frank, Gomez, Javier, Fisher, Robert S., Parkman, Henry P.·2011·Digestive Diseases and Sciences
DOI 10.1007/s10620-011-1810-z
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Abstract

Background Delayed gastric emptying can alter glucose levels in diabetic patients; hyperglycemia can delay gastric emptying. Continuous glucose monitoring (CGM) may be useful to assess the relationship between gastric emptying and blood glucose levels. Aims The aims of this study were to compare the postprandial blood glucose profile of patients with type 2 diabetes mellitus (T2DM) with and without gastroparesis, normal subjects, and patients with idiopathic gastroparesis (IG), and also to determine the effect of different meal compositions on glucose regulation in T2DM and normals. Methods Seven patients with IG, seven T2DM with gastroparesis, ten non-gastroparetic T2DM, and ten normal subjects underwent CGM during a low fat (Eggbeaters) meal. Glucose profiles were also studied in T2DM and normal subjects after high fat, high fiber, spicy, and Ensure liquid nutrient meals. Results After the Eggbeaters meal, the glucose profile of IGs and normals were similar. Diabetic patients with gastroparesis had similar peak postprandial blood glucose to nongastroparetic diabetics (231 ± 26 vs. 232 ± 18 mg/dl), but had a higher postprandial blood glucose at the end of the 4 h study (187 ± 26 mg/dl vs. 97 ± 10; P = 0.01). In contrast to normals, non-gastroparetic diabetics had higher mean postprandial blood sugar after the Eggbeaters meal (173 ± 5 mg/dl) compared to high fat (157 ± 3; P = 0.002), spicy (133 ± 2; P Conclusions Blood glucose monitoring provides insight to the presence of ga…

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  • These data facilitate a dynamic, iterative optimization of insulin dosing, bolus timing, and fractionation, moving away from purely empirical adjustments.

    “These data facilitate a dynamic, iterative optimization of insulin dosing, bolus timing, and fractionation, moving away from purely empirical adjustments [132, 143, 145, 146].”

    From Diabetic gastroparesis: pathophysiology and impact on insulin timing choices (2026) · cites this paper as [146]

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Authors
Ramzan, Z., Duffy, F., Gomez, J., Fisher, R. S., & Parkman, H. P.
Affiliations
  • Temple University (US)
  • Temple University Hospital (US)
Corresponding author
Parkman, Henry P.
ORCID
Venue
Digestive Diseases and Sciences
Publisher
Springer Science and Business Media LLC
Published
2011-07-07
Volume
56
Issue
9
Pages
2646-2655
ISSN
  • 0163-2116 (ISSN-L)
  • 1573-2568
DOI
10.1007/s10620-011-1810-z
OpenAlex
W2097590684
Cited by
31
References
29
Citations by year
2026: 4 · 2025: 5 · 2024: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 4 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 3
FWCI
2.62
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Digestive Diseases and Sciences (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • National Institute of Diabetes and Digestive and Kidney Diseases
Topics
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
continuous glucose monitoring, diabetic gastroparesis, idiopathic gastroparesis, type 2 diabetes, postprandial blood glucose, delayed gastric emptying, meal composition, hyperglycemia, low-fat meal, high-fat meal, glucose regulation
MeSH terms
Adult, Blood Glucose, Carbohydrates, Diabetes Mellitus, Type 2, Dietary Fats, Dietary Fiber, Female, Food, Food, Formulated, Humans, Male, Middle Aged, Gastroparesis, Dietary Sucrose, Diabetes Complications

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