Symptoms And Treatment Of Type II Diabetes

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A 60-year-old woman with a 10-year history of Type II diabetes presents with multiple complications including retinopathy, peripheral neuropathy and declining renal function. She has not had the urge to eat as of recently she feels “full” after a few bites. The incidence of nausea and feeling bloated occurs at least twice a day and even after a glass of water she feels bloated. She also complains of fatigue and not been able to keep up with daily chores. A radiographic gastric emptying study shows a prolonged gastric emptying time.
What is the typical diagnosis and how would you ideally treat this patient. What is the mechanism via which the medication acts? The typical diagnosis for this patient is gastroparesis. Gastroparesis is a disorder that most commonly “affects people with both type 1 and type 2 diabetes in which the stomach takes too long to empty its contents (delayed gastric emptying)”("Gastroparesis," 2014, p. 1). Other causes are gastric surgery with injury to the vagus nerve, medications such as narcotics and some antidepressants, Parkinson’s disease, and multiple sclerosis. This progressive condition is caused by damage to the vagus nerve, which regulates the digestive system. The cardinal symptoms include postprandial fullness (early satiety), nausea, vomiting, and bloating”(Camilleri, Bharucha, & Farrugia, 2011, p. 5). Other symptoms include gastroesophageal reflux (acid reflux), abdominal pain, and lack of appetite, weight loss, and poor glucose control.
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