ICD 10 code for Other diseases of stomach and duodenum. This is a condition called gastroparesis. A: I rarely teach physicians to use the term “with” as linking language because the term is very confusing. 02XA [convert to ICD-9-CM] Injury of sciatic nerve at hip and thigh level, left leg, initial encounter. ICD-10-CM Diagnosis Code E10. 43 is a valid billable ICD-10 diagnosis code for Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy . -)Other coding scenarios addressed in Coding Clinic for ICD-10-CM regarding diabetes include: For diabetic gastroparesis, report E–. Duration of diabetes averaged 17. Diagnosis of idiopathic gastroparesis confirmed by gastric emptying scintigraphy; B. Ditinjau oleh dr. I05. 13); functional disorders. Type 1 Excludes. E093311. 1, (Postprocedural hypoinsulinemia. Codes; Modifiers; License Data Files; Disclaimer; Search Results. X = T2DM) recorded in the electronic patient record, and age >16 years. Gastroparesis is the result of damage to the vagus nerve, which controls the movement of food through the digestive system. 528 became effective on October 1, 2023. K31. 43); scleroderma (M34. Diabetic neuropathy (DN) may be defined as the presence of certain signs or specific symptoms and suggestive for neuropathy in patients with diabetes mellitus (DM), after excluding other possible causes of neuronal damage (). 43 E10. 48 terms. 618. This. Type 2 diabetes w proliferative diabetic retinopathy. 3 per 100,000 person-years . 4 Gastric diverticulum. When it's damaged, your digestion slows down and food stays in your body longer than it should. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). health care setting. 296 results found. 43, E11. 240 results found. 620 [convert to ICD-9-CM] Type 2 diabetes mellitus with diabetic dermatitis. Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula. 17 Conversely, in a cohort of patients with confirmed autonomic dysfunction, gastric emptying scintigraphy revealed both rapid and delayed gastric emptying, with. diabetic gastroparesis (E08. 1 The risk of developing diabetic retinopathy or other microvascular complications of diabetes depends on both the duration and the severity of. Gastroparesis (GP) is a syndrome characterized by delayed gastric emptying (GE) in the absence of mechanical gastric outlet obstruction. 2 (autoerythrocyte sensitization) Gargoylism E76. Aug 27, 2015. Common symptoms of gastroparesis include nausea (>90% of patients), vomiting (84% of patients), and early satiety (60% of patients) (1,2,3). Search Results. 43, E09. 2024 ICD-10-CM Range E00-E89. 500 results found. 2% in patients with type 1 diabetes and 1% in those with type 2 diabetes (5,6). Showing 26-50: ICD-10-CM Diagnosis Code S74. 84 (gastroparesis) [5]. 9 - other international versions of ICD-10 E10. 528 contain annotation back-references. 620 [convert to ICD-9-CM] Type 2 diabetes mellitus with diabetic dermatitis. Ditinjau oleh dr. Amyotrophy due to type 2 diabetes mellitus; Amyotrophy, in diabetes type 2; Diabetes, type 2 with amyotrophy. This is effective with March 18, 2016 discharges. 00-K57. This is the American ICD-10-CM version of E10. This document addresses gastric electrical stimulation (GES) for gastroparesis and other indications. Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema. Type 1 diabetes mellitus with diabetic nephropathy. E10. ICD-10 code E11. Search All ICD-10; ICD-10-CM Diagnosis Codes; ICD-10-PCS Procedure Codes. E10. ICD-10-CM Diagnosis Code K31. 21, type 2 diabestes mellitus with diabetic nephropathy E11. Diabetes continues to be a challenge for coders since the new instruction/guideline was released in AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS, First Quarter 2016. Type 2 diabetes mellitus with diabetic neuropathy, unsp; Diabetes 2, with neurogenic erectile dysfunction; Diabetes type 2 with peripheral neuropathy; Diabetes type 2 with. 2 may differ. This article is a comprehensive review of diabetic gastroparesis, defined as delayed or disordered gastric emptying, including basic principles and current trends in management. Other specified diabetes mellitus with nonproliferative diabetic retinopathy NOS; ICD-10-CM Diagnosis Code E10. E11. View all the articles associated with any code, right from the code page! A systematic review of the literature concluded that the prevalence of definite gastroparesis (symptoms plus evidence of delayed gastric emptying) in the general population ranged from 13. 1. Showing 1-25: ICD-10-CM Diagnosis Code E13. Introduction. ICD-10-CM Diagnosis Code E11. Search All ICD-10 Toggle Dropdown. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . co. (NIS) for all patients in whom gastroparesis (ICD. E66. Showing 1-25: ICD-10-CM Diagnosis Code E13. It presents with upper gastrointestinal (GI) symptoms such as nausea, vomiting, early satiety. 5 kg predicted delayed GE ( 4 ). Oth diabetes mellitus with diabetic neuropathy, unspecified; Neuropathy due to secondary diabetes mellitus; Secondary diabetes with neuropathy ICD-10-CM Diagnosis Code E13. Codes. 84 for Gastroparesis is a medical classification as listed by WHO under the range - Diseases of the digestive system . 641. ICD-10 guidelines and is for general supplemental purposes only. Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, unspecified eye. and median duration 24years). ICD-10-CM Diagnosis Code E11. functional disorders of stomach. Introduction Clinical definition syndrome of delayed gastric emptying in the absence of a mechanical obstruction and the presence of cardinal symptoms (e. Type 2 diabetes mellitus with unsp diabetic retinopathy. ICD-10-CM Diagnosis Code E11. 2% in nondiabetic individuals. The 10-year cumulative incidence of diabetic gastroparesis has been estimated to be 5. Inclusion criteria were a diagnosis of DM based on the diagnoses (ICD‐10 diagnosis code: DE10. Type 2 diabetes w oth diabetic neurological complication; Cranial nerve palsy due to type 2 diabetes mellitus; Diabetes type 2 with cranial nerve palsy; Diabetes type 2 with neurologic disorder; Diabetes type 2 with neuropathic ulcer of ankle; Diabetes type 2 with neuropathic ulcer of foot; Diabetes type 2 with neuropathic ulcer of toe; Neurologic. Type 2 diabetes mellitus with diabetic neuropathy, unspecified) unless the documentation indicates that multiple nerves were. Adverse events associated with bariatric surgery are associated with the obesity itself, systemic disorders, and obesity-related diseases. 19 - other international versions of ICD-10 Z87. 2% in nondiabetic individuals. This is the American ICD-10-CM version of E10. A type 1 excludes note indicates that the code excluded should never be used at the same time as E10. Diabetic autonomic neuropathy associated with type 2 diabetes mellitus; Diabetic gastroparesis associated with type 2 diabetes mellitus;. This article reviews the epidemiology, pathophysiology, clinical features, diagnosis and treatment of diabetic gastroparesis. 2 per 100,000 persons. Z86. ICD-10-CM1 Diagnosis Codes Diabetic Gastroparesis2 Diabetic Gastroparesis E10. Type 1 Excludes. Codes; Modifiers; License Data Files; Disclaimer; Search Results. CPT code 43284 - for the treatment of GERD (Gastroesophageal Reflux Disease) LINX® Reflux Management System. Gastropati Diabetik, Komplikasi Diabetes yang Menyerang Sistem Pencernaan. 2018-00161. Predominant among them, and most extensively studied, is abnormally delayed gastric emptying or diabetic gastroparesis. Type 1 diabetes mellitus with unspecified diabetic retinopathy. Consider alternative agents in patients with diabetic gastroparesis. Oth diabetes mellitus with diabetic neuropathy, unspecified; Neuropathy due to secondary diabetes mellitus; Secondary diabetes with neuropathy. This is the American ICD-10-CM version of E87. ICD-10-CM Diagnosis Code E10. 349 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema 3 = Bilateral E11. 1±1. Salah satunya Gastroparesis diabetik, kondisi ketika makanan mengendap di dalam perut dalam waktu yang lama akibat adanya kerusakan saraf. Type 2 diabetes mellitus with diabetic neuropathy, unsp; Diabetes 2, with neurogenic erectile dysfunction; Diabetes type 2 with peripheral neuropathy; Diabetes type 2 with. Gastroparesis is an entity most commonly discussed as a consequence of diabetes mellitus. Idiopathic small fiber peripheral neuropathy; Neuropathy (nerve damage), hereditary sensory; Notalgia paresthetica; Dominantly inherited sensory neuropathy; Morvan's disease; Nelaton's syndrome; Recessively inherited sensory neuropathy. 2 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. E11. 9Noninfective gastroenteritis and colitis, unspecified. Drug or chemical induced diabetes mellitus with diabetic gastroparesis. 1210/er. The following code (s) above K31. 3 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 536. 36 [convert to ICD-9-CM] Type 1 diabetes mellitus with diabetic cataract. ICD-10-CM Diagnosis Code E11. Other conditions known to cause gastroparesis include: uncontrolled diabetes, medications such as narcotics and some antidepressants, Parkinson's disease, multiple sclerosis, eating disorders, and rare conditions such as: amyloidosis and scleroderma. Showing 1-25: ICD-10-CM Diagnosis Code E11. “Ada beberapa komplikasi diabetes yang perlu diwaspadai. 9 E11. 610 [convert to ICD-9-CM] Type 1 diabetes mellitus with diabetic neuropathic arthropathy. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). 43 may differ. Type 2 diabetes mellitus with diabetic gastroparesis; ICD-10-CM Diagnosis Code E11. Toggle navigation. ICD-10-CM Diagnosis Code E13. 1 result found: ICD-10-CM Diagnosis Code E11. The 2024 edition of ICD-10-CM K31. 019. Showing 1-25: ICD-10-CM Diagnosis Code G90. 31. 10. g. Oth diabetes mellitus with diabetic neuropathy, unspecified; Neuropathy due to secondary diabetes mellitus; Secondary diabetes with neuropathy. ICD-10 code E11. #4. ICD-10-CM Diagnosis Code E10. Across studies, gastroparesis was more common. 43, E09. 620 Drug or chemical induced diabetes mellitus with diabetic dermatitis. E10. Introduction. 10. 19 may differ. ICD-10-CM Diagnosis Code H47. 84: Gastroparesis: ICD-10 codes not covered for indications listed in the CPB (not all-inclusive): K31. gpbrenner9. 63 Diabetes with neurological manifestations, type I [juvenile type], uncontrolled 278. 15 Using an optimal method con- What Is Diabetic Gastroparesis and What Causes It? Diabetes can have an effect on the entire digestive system. Ischemic optic neuropathy, unspecified eye. Drug/chem diabetes w neuro comp w diabetic neuropathy, unsp; Drug induced diabetes with diabetic neuropathy; Neuropathy due to drug induced diabetes mellitus. Other conditions known to cause gastroparesis include: uncontrolled diabetes, medications such as narcotics and some antidepressants, Parkinson's disease, multiple sclerosis, eating disorders, and rare conditions such as: amyloidosis and scleroderma. The following are symptoms of gastroparesis: heartburn. Gastroparesis: 14: N186: End stage renal disease: 15: D631: Anemia in chronic kidney disease: 16: Z992: Dependence on renal dialysis: 17: I252: Old myocardial infarction: 18:Short description: Oth diabetes mellitus with other specified complication The 2024 edition of ICD-10-CM E13. 89 (hysterical) Gardner-Diamond syndrome D69. Chapter 19 Procedural Coding. 500 results found. Active ICD-10 coding for gastroparesis appears to be a reasonable predictor of the disease. 84 is a medical classification as listed by WHO. ICD-10-PCS; New 2023 Codes; Codes Revised in 2023; Codes Deleted in 2023; HCPCS . 84. Jordan_Bishop56. Halodoc, Jakarta – Diabetes merupakan penyakit berbahaya yang bisa menyebabkan komplikasi serius. 43); scleroderma (M34. 5 Obstruction of duodenum. 630 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 0-); diabetes mellitus (E08. 500 results found. 43. 00 - Gastro-esophageal reflux disease with esophagitis, without bleeding. 2 There has been a tremendous rise in gastroparesis‐related. Search Page 1/1: E1143. 618 [convert to ICD-9-CM] Introduction Clinical definition syndrome of delayed gastric emptying in the absence of a mechanical obstruction and the presence of cardinal symptoms (e. ICD-10-CM Diagnosis Code K31. It is usually associated with retinopathy. Type 2 diabetes mellitus with diabetic gastroparesis ICD-10-CM Diagnosis Code E13. This is the American ICD-10-CM version of K31. ICD-10-CM Diagnosis Code E08. Gastroparesis. Short description: Oth diabetes mellitus w diabetic autonomic (poly)neuropathy The 2024 edition of ICD-10-CM E13. 500 results found. ICD-10-CM Diagnosis Code E11. 43 is a valid billable ICD-10 diagnosis code for Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy . Drug/chem diabetes w neuro comp w diabetic neuropathy, unsp; Drug induced diabetes with diabetic neuropathy; Neuropathy due to drug induced diabetes mellitus. Diabetic gastropathy is a term that encompasses a number of neuromuscular dysfunctions of the stomach, including abnormalities of gastric contractility, tone, and myoelectrical activity in patients with diabetes. Learn how to code diabetic complications, such as gastroparesis, with the ICD-10-CM codes for diabetes mellitus. g. 9 [convert to ICD-9-CM] Hereditary and idiopathic neuropathy, unspecified. jdiacomp. 321. E11. Sometimes it's a complication of diabetes, and some people develop gastroparesis after surgery. 43 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. R11. Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema. People without diabetes, the Gastroparesis condition may relate to acid reflux. 0 - other international versions of ICD-10 K31. Drug/chem diabetes mellitus w diabetic arthropathy. If your patient has non-diabetic Gastroparesis, the ICD-10 code you must is K31. 49 [convert to ICD-9-CM] Type 2 diabetes mellitus with other diabetic neurological complication. 9 became effective on October 1, 2023. D0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 240 results found. 22 became effective on October 1, 2023. 9. K31. However, no studies have evaluated the prevalence of delayed GE among randomly selected people in a community, probably. Type 1 diabetes mellitus with proliferative diabetic retinopathy. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . ICD-9-CM 536. 43 E13. 22 - other international. Search Results. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code K31. symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified ( R00 - R94) Diseases of the digestive system. 43. Location. Showing 26-50: ICD-10-CM Diagnosis Code E10. 649 [convert to ICD-9-CM] Type 1 diabetes mellitus with hypoglycemia without coma. 43, E13. Search Results. 0-); diabetes mellitus (E08. Short description: Drug or chemical induced diabetes mellitus w/o complications; The 2024 edition of ICD-10-CM E09. 9 is a valid billable ICD-10 diagnosis code for Type 2 diabetes mellitus without complications . , GLP-1 agonists, pramlintide) can delay gastric emptying. After having the condition for 10 years, people with type 1 diabetes have a 5% risk of developing gastroparesis. 84 – other international versions of ICD-10 K31. K31. Codes; Modifiers; License Data Files; Disclaimer; Search Results. health care setting. K31. 46 2: Gastroparesis (K31. #1. ICD-10 code E11. 32. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. Gastroparesis symptoms. 188 may differ. Synonyms: abnormal gastric motility, abnormal gastric motility, abnormal. Type 2 diabetes mellitus with diabetic gastroparesis; E11. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. 6 contain annotation back-references that may be applicable to E11. D0 may differ. 40. This review includes sections on anatomy and physiology, diagnosis and differential diagnosis as well as management and current guidelines for treatment of. Ischemic optic neuropathy, unspecified eye. 13) Other diseases of stomach and duodenum;ICD-10-CM Diagnosis Code E13. Use a second code, for example K31. 9), Type 2 diabetes mellitus with diabetic neuropathy (E1140) Working DRG: DRG 073-Cranial & peripheral nerve disorders w/ MCC Gastroparesis may also occur in other conditions as well. XX. 43 Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy BILLABLE | ICD-10 from 2011 - 2016 E11. 9 [convert to ICD-9-CM] Hereditary and idiopathic neuropathy, unspecified. It can make you feel queasy and vomit. This information is not guaranteed to be. Expert Rev Gastroenterol Hepatol. Showing 1-25: ICD-10-CM Diagnosis Code E11. 43 became effective on October 1, 2023. 08. DM and “idiopathic causes” are the 2. S. Since semaglutide was not approved for weight-loss until 2021 and liraglutide is still only FDA-approved for diabetes, the vast majority of GLP-1 receptor agonist users. 43); scleroderma (M34. Type 2. It's also bad for. What is the ICD 10 code for Gastroparesis? For gastroparesis and gastric paralysis, the general ICD-10 code is K31. Gastroparesis. ICD-10-CM Diagnosis Code E11. 1%), and severe-grade gastroparesis-related symptoms in nine (5. The muscles of the stomach, controlled by the vagus nerve, normally contract to move food through the gastrointestinal tract. 43 ICD-10 code E11. 21 became effective on October 1, 2023. 43 - Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy; E11. Code this: Patient is seen for uncontrolled diabetes, type 2, with hyperglycemia diabetic nephropathy and diabetic gastroparesis. A 'billable code' is detailed enough to be used to specify a medical diagnosis. Delayed gastric emptying means the stomach takes too long to empty its contents. 21. Applicable To. 43, E13. 7 per 100,000 adults, and the incidence ranged from 1. -) Diseases of esophagus, stomach and duodenum. in said: Yes, except for heart disorders, we can always assume relation between DM & DM complication without linking term. Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema. Obesity unspecified. Showing 1-25: ICD-10-CM Diagnosis Code G60. 21 - other international versions of ICD-10 E10. , cytomegalovirus) medications (e. 8. blood glucose levels that. 2016 2017 - Converted to Parent Code 2018 2019 2020 2017 - Converted to Parent Code 2018 2019 2020Type 1 Diabetes Mellitus With Hyperglycemia. 43, E10. Aug 27, 2015. 528 may differ. Erythromycin may lose its effectiveness over time, and can cause side effects, such as diarrhea. K31. is medically necessary for diabetic and idiopathic gastroparesis when all of the following criteria are met: A. Is diabetic Peripheral angiopathy the same as PVD? E11. 69 may differ. E13 Other specified diabetes mellitus. Diabetes mellitus in pregnancy, childbirth, and the puerperium. Up to 50% of patients with moderately controlled type 1 and type 2 diabetes mellitus (DM) have delayed gastric emptying (GE), which can be documented with scintigraphy, 13 C-breath tests, or a wireless motility capsule Many patients with DM and delayed GE are asymptomatic; others have dyspepsia (i. There is slight variation in symptoms depending on the etiology of gastroparesis: abdominal pain occurs more. 6% of discharges had a code of Polyneuropathy in Diabetes. These instructional notes indicate the proper sequencing. ICD-10-CM Diagnosis Code E09. 9 E11. Type 2 diabetes mellitus with diabetic neuropathy, unsp; Diabetes 2, with neurogenic erectile dysfunction; Diabetes type 2 with peripheral neuropathy; Diabetes type 2 with peripheral sensory neuropathy; Diabetes. If a complication is listed in the ICD-10 Alphabetic Index as Diabetes ‘with’, then the condition is assumed to be due to the diabetes and is reported as a diabetic complication, unless. 0 Acute dilatation of stomach;. This is a condition called gastroparesis. 344 results found. 40 [convert to ICD-9-CM] Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified. K31. To report gastroparesis in ICD-10, use diagnosis code K31. ICD-10-CM Diagnosis Code E09. Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. If your patient has diabetes, you must use either one of these depending if they have Type 1 or Type 2: E10. I thought neuropathy and gastroparesis were two different diagnosis therefore both would be coded. 89. Includes: brittle diabetes (mellitus)E11. Code Sets; Indexes; Code Sets and. 84. This is the American ICD-10-CM version of E13. 43 Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy E11. Linear and logistic regression models were used to assess. 43 is the higher specificity and only code that (I do risk adjustment). 40. 3 should only be used for claims with a date of service on or before September 30, 2015. The 2024 edition of ICD-10-CM R11. Applicable To Drug or chemical induced diabetes mellitus with diabetic gastroparesis The 2024 edition of ICD-10-CM E10 became effective on October 1, 2023. Type 2 diabetes mellitus with diabetic gastroparesis; ICD-10-CM Diagnosis Code E11. 00-K57. Teacher 15 terms. ICD-10-CM Diagnosis Code K31. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code K31. Type 2 diabetes mellitus with. Salah satunya Gastroparesis diabetik, kondisi ketika makanan mengendap di dalam perut dalam waktu yang lama akibat adanya kerusakan saraf. E11. 2019 Oct 1;40 (5):1318-1352. Gastropati Diabetik, Komplikasi Diabetes yang Menyerang Sistem Pencernaan. Type 2 diabetes mellitus with unsp diabetic retinopathy. However K31. 311 [convert to ICD-9-CM] Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema. PMC6736218. ( 4) The coding system was updated in October 2015 to its 10th. 43. Diabetic gastroparesis is generally viewed as being a contraindication to pregnancy (1,2), based on evidence derived from a few and sporadic case reports (2–4). Type 2 diabetes mellitus with diabetic gangrene; ICD-10-CM Diagnosis Code E08. 60 should only be used for claims with a date of service on or before September 30, 2015. Type 2 diabetes w oth diabetic neurological complication; Cranial nerve palsy due to type 2 diabetes mellitus; Diabetes type 2 with cranial nerve palsy; Diabetes type 2 with neurologic disorder; Diabetes type 2 with neuropathic ulcer of ankle; Diabetes type 2 with neuropathic ulcer of foot; Diabetes type 2 with neuropathic ulcer of toe; Neurologic. The 2024 edition of ICD-10-CM E87. 01 [convert to ICD-9-CM] Type 2 diabetes mellitus with hyperosmolarity with coma. Short description: Diab due to undrl cond w diabetic autonm (poly)neuropathy; The 2024 edition of ICD-10-CM E08. 43, E11. % of Total ICD E1051 - Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene in DRG: 1. 9 : K00-K95. Drug or chemical induced diabetes mellitus with neurological complications with diabetic autonomic (poly)neuropathy. S. ICD 10 code for Drug or chemical induced diabetes mellitus with neurological complications with diabetic autonomic (poly)neuropathy. Winston Salem, NC. E11 Type 2 diabetes mellitus. 39 became effective on. vomiting of undigested food. ICD-10-PCS; New 2023 Codes; Codes Revised in 2023; Codes Deleted in 2023; HCPCS . 9 became effective on October 1, 2023. therapy options are key steps in addressing this diabetes complication and a possible unexplored association of GS and diabetic gastroparesis.