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Changes of gastric emptying rate and gastrin levels are early indicators of autonomic neuropathy in type II diabetic patients

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Abstract

The authors investigated the effect of a balanced meal on gastric emptying rate and gastrin plasma concentrations in patients with type II diabetes and autonomic neuropathy, in diabetic patients without autonomic neuropathy, and in healthy subjects (controls). Before food the gastrin plasma concentrations were higher in patients with diabetes with autonomic neuropathy. After food, gastric emptying rate was slower in patients with diabetes with autonomic neuropathy, whereas gastrin plasma concentrations increased in 30 minutes in all groups but to a greater extent in patients with diabetes with autonomic neuropathy. Sixty minutes after food, there was a significant decrease in gastrin plasma concentrations in patients with diabetes with autonomic neuropathy, compared with the other two groups. These data suggest that in patients with type II diabetes with autonomic neuropathy, food causes slower gastric emptying and different plasma gastrin level responses from those in patients with type II diabetes without autonomic neuropathy and controls. There are therefore differences in the responses to food ingestion between these groups because of vagal denervation induced by autonomic neuropathy. These tests should be reserved for patients with symptoms suggestive of disturbed gastric emptying, or for patients with autonomic neuropathy without symptoms of gastroparesis.

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Authors and Affiliations

  1. Department of Diabetes, NIMTS Hospital, 17 Zefiron St., 15342, Ag. Paraskevi, Athens, Greece

    Ilias Migdalis M.D. & Fotini Mantzara M.D.

  2. Department of Neurology, Pammakaristos General, Hospital of Athens, Athens, Greece

    Thomas Thomaides M.D.

  3. Department of Neurology, NIMTS Hospital, Athens, Greece

    Costas Chairopoulos M.D.

  4. Department of Nuclear Medicine, NIMTS Hospital, Athens, Greece

    Constantina Kalogeropoulou & John Charalabides M.D.

Authors
  1. Ilias Migdalis M.D.
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  2. Thomas Thomaides M.D.
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  3. Costas Chairopoulos M.D.
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  4. Constantina Kalogeropoulou
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  5. John Charalabides M.D.
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  6. Fotini Mantzara M.D.
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Migdalis, I., Thomaides, T., Chairopoulos, C. et al. Changes of gastric emptying rate and gastrin levels are early indicators of autonomic neuropathy in type II diabetic patients. Clinical Autonomic Research 11, 259–263 (2001). https://doi.org/10.1007/BF02298958

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  • DOI: https://doi.org/10.1007/BF02298958

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