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Diabetes Care 36 , S145S148 (2013)

Treatment recommendations are made following professional clinical judgement, with patient safety and best practice at the core

When the Vagus Nerve is damaged, transfer of food from the stomach to the small intestines is reduced because the muscles (peristalsis) will not operate properly

ECG changes can precede clinical symptoms, with 25% of patients showing ECG abnormalities as the first sign of DCM

Dietary recommendations include: Eating slowly and chewing food thoroughly Avoiding high-fat, greasy, or fried foods that delay gastric emptying further Limiting spicy, acidic, or heavily seasoned foods that may irritate the stomach Staying well-hydrated with small sips of water throughout the day Avoiding lying down immediately after eating (remain upright for 2-3 hours) Choosing bland, easily digestible foods during periods of increased nausea Limiting alcohol and caffeine, which can exacerbate symptoms For constipation, increasing fiber intake gradually, ensuring adequate hydration, and occasionally using osmotic laxatives or stool softeners may help