Detail information
ID ENCL000042
Year 2015
Disease Diabetes Complications
Acupoint
Acupoint Code
Zusanli ST36
Neiguan PC6
Zhongwan CV12
Side bilaterally
Description bilateral ST36 Zusanli, bilateral PC6 Neiguan and CV12 Zhongwan
Experimental Description In a single-blind controlled crossover trial, 25 patients with diabetic gastroparesis were randomly assigned to undergo 1 week of real acupuncture (RA) treatment followed by 1 week of sham acupuncture (SA) treatment, or vice versa, with a washout of 1 month in between.
Sample Count 25
Age 40-65
Control
Sham
sham acupuncture (SA)(n=10)
Experiment real acupuncture (RA)(n=11)
Indicator Gastric retention(GR) Gastroparesis cardinal symptom index(GCSI) Gastroparesis visual analogue scale(GVAS) Visual analog scale(VAS) Fasting blood glucose(FBG) HbA1c
Auxiliary Medication Patients were using either insulin (n=11), oral hypoglycaemic agents (n=7), oral hypoglycaemic agents plus insulin (n=2) or diet alone (n=1) to manage their diabetes.
Stimulation Method MS
Induction Method
Electroacupuncture Instrument Model Manufacturer Frequency Waveform Strength Induction Time
- - - - - 20-30 min

Acupuncture_Needle Needle_Manufacturer Needle_Depth
0.3×40 mm Suzhou Medical Instruments Factory, Suzhou, China -

Description Acupuncture treatment was performed once a day for 7days. The acupuncture points used for RA included bilateral ST36 Zusanli, bilateral PC6 Neiguan and CV12 Zhongwan. De qi was achieved in all points.
Clinical Trial Type a sham-controlled, single-blind, crossover trial
Effector 21 patients completed the study. Compared with SA treatment, RA treatment was associated with significantly greater reductions in gastric retention at 2 h (-11.1±7.0%; 95% CI -13.6% to -6.2%; p<0.01) and at 4 h (-5.0 ±2.8%; 95% CI -6.0% to -0.2%; p=0.04) and in GCSI score (-8.0±3.4; 95% CI -8.4 to -2.8; p<0.01). There were no significant differences in FBG and HbA1c levels between RA and SA treatments. In patients with diabetic gastroparesis, 1 week of short-term manual acupuncture reduces gastric retention and improves gastroparesis symptoms.
Literature
PMID 25689986
Title The short-term effects of acupuncture on patients with diabetic gastroparesis: a randomised crossover study.
Abstract BACKGROUND: Acupuncture may improve gastrointestinal symptoms in patients with various disorders, but its efficacy in diabetic gastroparesis is unclear. OBJECTIVE: To evaluate the short-term effects of acupuncture on gastric emptying and gastroparesis symptoms in patients with diabetic gastroparesis. METHODS: In a single-blind controlled crossover trial, 25 patients with diabetic gastroparesis were randomly assigned to undergo 1 week of real acupuncture (RA) treatment followed by 1 week of sham acupuncture (SA) treatment, or vice versa, with a washout of 1 month in between. Before and after each intervention, gastric retention, the Gastroparesis Cardinal Symptom Index (GCSI), fasting blood glucose (FBG) and HbA1c levels were measured. RESULTS: 21 patients completed the study. Compared with SA treatment, RA treatment was associated with significantly greater reductions in gastric retention at 2 h (-11.1+/-7.0%; 95% CI -13.6% to -6.2%; p<0.01) and at 4 h (-5.0+/-2.8%; 95% CI -6.0% to -0.2%; p=0.04) and in GCSI score (-8.0+/-3.4; 95% CI -8.4 to -2.8; p<0.01). There were no significant differences in FBG and HbA1c levels between RA and SA treatments. CONCLUSIONS: In patients with diabetic gastroparesis, 1 week of short-term manual acupuncture reduces gastric retention and improves gastroparesis symptoms."
Souce Acupunct Med. 2015 Jun;33(3):204-9. doi: 10.1136/acupmed-2014-010670. Epub 2015 Feb 17.