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## Anyone with DM = Full stomach

Hi Guys,

I read a few threads that touched on this issue, but I wanted to ask it in a direct way. A few of my professors have been hammering it into our heads that a high percentage of patients with DM have gastroparesis, and, therefore need to be treated with full stomach precautions. So I have two questions:

1.) Is this the case in the real world? If you had a case where you could use an LMA (in a healthy pt) would the fact that someone has DM make you choose an ETT?

2.) Can patients have significant gastroparesis and not have any symptoms (such as GERD/heartburn)?

Thanks for any feedback!!