Dietary Intervention for Diabetic Gastroparesis: A Randomized Trial

Patients with symptomatic diabetic gastroparesis are advised to eat small, frequent meals low in fat and nondigestible fiber, but controlled trials are lacking. In this study, Swedish researchers randomized 56 insulin-treated diabetic adults with symptomatic gastroparesis and delayed emptying (on gastric scintigraphy) to receive either a “small-particle-size” intervention diet or a control diet. The intervention diet consisted mainly of easy-to-mash and pureed foods, whereas in the control diet, particle size or texture of foods was not restricted. Otherwise, the diets were similar nutritionally and calorically, and both groups were asked to eat three meals and three snacks daily. All participants received seven 1-hour dietary counseling se…