To achieve nutritional adequacy and to minimise unplanned weight loss and related symptoms

The TG will understand what gastroparesis is and common symptoms of it.

The TG will know how to achieve nutritional adequacy based on their condition (severity and symptoms), including:

• If/how to adjust texture of foods
• How to achieve intake through small, frequent meals/snacks
• Impact of food choices and eating pattern on blood glucose management.

• The NIDDK Gastroparesis Clinical Research Consortium (GpCRC), Dietary Intake and Nutritional Deficiencies in Patients with Diabetic or Idiopathic Gastroparesis, Gastroenterology. 2011 August ; 141(2): 486–498.e7. doi:10.1053/j.gastro.2011.04.045.
• Bharadwaj, Shishira ; Meka, Krishna ; Tandon, Parul ; Rathur, Abdullah ; Rivas, John M. ; Vallabh, Hiren ; Jevenn, Andrea ; Guirguis, John ; Sunesara, Imran ; Nischnick, Amy ; Ukleja, Andrew Management of gastroparesis?associated malnutrition Journal of Digestive Diseases, May 2016, Vol.17(5), pp.285-294
• Camilleri M, Parkman HP, Shafi MA, Abell TL, Gerson L Clinical guideline: management of gastroparesis. American College of Gastroenterology. Am J Gastroenterol. 2013 Jan;108(1):18-37; quiz 38. doi: 10.1038/ajg.2012.373. Epub 2012 Nov 13.
• Fontana RJ, Barnett JL. Jejunostomy tube placement in refractory diabetic gastroparesis: a retrospective review. Am J Gastroenterol. 1996 Oct;91(10):2174-8. (Abstract only)
• Homko, C J ; Duffy, F ; Friedenberg, F K ; Boden, G ; Parkman, H P Effect of dietary fat and food consistency on gastroparesis symptoms in patients with gastroparesis Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society, April 2015, Vol.27(4), pp.501-8
• Keld, R. ; Kinsey, L. ; Athwal, V. ; Lal, S. Pathogenesis, investigation and dietary and medical management of gastroparesis Journal of Human Nutrition and Dietetics, October 2011, Vol.24(5), pp.421-430
• Olausson, Eva A ; Alpsten, Magne ; Larsson, Annhild ; Mattsson, Håkan ; Andersson, Henrik ; Attvall, Stig, Small particle size of a solid meal increases gastric emptying and late postprandial glycaemic response in diabetic subjects with gastroparesis Diabetes Research and Clinical Practice, 2008, Vol.80(2), pp.231-237
• Parrish, Carol Nutrition concerns for the patient with gastroparesis Current Gastroenterology Reports, 2007, Vol.9(4), pp.295-302
• Sadiya A. Nutritional therapy for the management of diabetic gastroparesis: clinical review. Diabetes Metab Syndr Obes. 2012;5:329-35. doi: 10.2147/DMSO.S31962. Epub 2012 Sep 7.