NICE - gastroparesis in type 2 diabetes
Last reviewed 02/2022
Management of gastroparesis
For treating vomiting caused by gastroparesis in adults with type 2 diabetes:
- consider alternating use of erythomycin and metoclopramide
- consider domperidone only in exceptional circumstances (if domperidone is the only effective treatment) and in accordance with MHRA guidance.
If gastroparesis is suspected, consider referral to specialist services if:
- the differential diagnosis is in doubt or persistent or severe vomiting occurs
Reference:
pragmatic algorithm for the management of glycaemic (glucose) control in type 2 diabetes