| Title |
Diabetic Gastroparesis: Principles and Current Trends in Management
|
|---|---|
| Published in |
Diabetes Therapy, June 2018
|
| DOI | 10.1007/s13300-018-0454-9 |
| Pubmed ID | |
| Authors |
Sathya Krishnasamy, Thomas L. Abell |
| Abstract |
This article is a comprehensive review of diabetic gastroparesis, defined as delayed or disordered gastric emptying, including basic principles and current trends in management. This review includes sections on anatomy and physiology, diagnosis and differential diagnosis as well as management and current guidelines for treatment of diabetic gastroparesis. Diabetic gastroparesis (DGp) is a component of autonomic neuropathy resulting from long-standing poorly controlled type 1 and type 2 diabetes. The diagnostic workup of DGp first excludes obstruction and other causes including medications that may mimic delayed/disordered gastric emptying. Targeting nutrition, hydration, symptomatic relief and glycemic control are mainstays of treatment for DGp. Additionally, optimal treatment of DGp includes good glycemic management, often involving customizing insulin delivery using basal-bolus insulin and technology, including sensor-augmented pumps and continuous glucose monitoring systems. Prokinetic medications may be helpful in DGp symptoms, although only limited number of medications is currently available in the USA. Selected medication-refractory patients with DGp may benefit from gastric neuromodulation, and some from surgical interventions including pyloric therapies that can also be done endoscopically. As is true of any of the diabetic complications, prevention of DGp by early and optimal glycemic control is more cost-effective. Hansa Medcell, India. |
X Demographics
The data shown below were collected from the profiles of 7 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 3 | 43% |
| United Kingdom | 1 | 14% |
| Unknown | 3 | 43% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 7 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 401 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 401 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 56 | 14% |
| Student > Postgraduate | 27 | 7% |
| Student > Master | 26 | 6% |
| Other | 21 | 5% |
| Student > Ph. D. Student | 18 | 4% |
| Other | 57 | 14% |
| Unknown | 196 | 49% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 89 | 22% |
| Nursing and Health Professions | 29 | 7% |
| Biochemistry, Genetics and Molecular Biology | 21 | 5% |
| Pharmacology, Toxicology and Pharmaceutical Science | 19 | 5% |
| Agricultural and Biological Sciences | 9 | 2% |
| Other | 33 | 8% |
| Unknown | 201 | 50% |
Attention Score in Context
This research output has an Altmetric Attention Score of 17. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 December 2022.
All research outputs
#1,936,162
of 23,577,654 outputs
Outputs from Diabetes Therapy
#71
of 1,055 outputs
Outputs of similar age
#42,115
of 329,757 outputs
Outputs of similar age from Diabetes Therapy
#4
of 21 outputs
Altmetric has tracked 23,577,654 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 91st percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,055 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.0. This one has done particularly well, scoring higher than 93% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 329,757 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 87% of its contemporaries.
We're also able to compare this research output to 21 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 80% of its contemporaries.