Diabetes Mellitus is one of the most common non communicable diseases, with rising incidence and prevalence. Several systemic complications like retinopathy are known to arise in long standing diabetes, gastroparesis is one such complication, and adds to morbidity of these patients. Early diagnosis of gastroparesis may be valuable in prompt management and thereby improving patient outcome. Various methods have been devised for diagnosis of gastroparesis but Gastric Emptying Scintigraphy (GES) stands out as the test of choice as it is physiological study which quantifies the gastric retention and can also be used for follow up of these patients after initiating treatment. Careful consideration of meal used, and adherence to standardized procedure minimizes the errors in the results and increases validity of the study. Several studies have been performed utilizing GES have helped in evaluating role of various disease related factors in diabetic gastroparesis Table 1. 1234. However larger multicentric studies will help in further standardizing the procedure especially with regards to the meal used in GES which is one of the main limitation restrictive to the popularity of this modality. Availability and inhibition due to radiation are other important factors restricting its use. We recommend utilization of this modality with more fervor for better patient management in symptomatic diabetics.