Acupuncture appears to improve diabetic peripheral neuropathy symptoms better than B vitamins or no treatment and to improve symptoms of diabetic gastroparesis better than gastroprokinetic agents (SOR: B
, meta-analyses of unblinded, low-quality RCTs). Electroacupuncture improves symptoms of diabetic gastroparesis better than sham procedure, but the difference is likely not clinically significant (SOR: C
, small RCT). Acupuncture may be considered for symptom management in patients with diabetic gastroparesis (SOR: C
, expert consensus).