Gastric emptying during and following resolution of moderate diabetic ketoacidosis in type 1 diabetes: a case series.

Diabetes Mellitus, Type 1 Diabetic Ketoacidosis Gastric Emptying Gastroparesis

Journal

BMJ open diabetes research & care
ISSN: 2052-4897
Titre abrégé: BMJ Open Diabetes Res Care
Pays: England
ID NLM: 101641391

Informations de publication

Date de publication:
03 Apr 2024
Historique:
received: 27 10 2023
accepted: 20 02 2024
medline: 5 4 2024
pubmed: 5 4 2024
entrez: 4 4 2024
Statut: epublish

Résumé

To use the 'gold standard' technique of scintigraphy to quantify gastric emptying (GE) as soon as practicable during an admission with diabetic ketoacidosis (DKA) and following its resolution at least 7 days later. Five patients with type 1 diabetes, age 29±12 years; Body Mass Index 23±3 kg/m There was no difference in either solid or liquid GE at the initial study compared with the follow-up. Median (IQR) solid retention was 47±20 versus 38%±33%, respectively; p=0.31, and time to empty 50% of liquid was 37±25 min versus 35±15 min, p=0.31, at the initial and follow-up GE study, respectively. GE of solids and liquids is not affected by moderate DKA, inferring that earlier reintroduction of oral intake may be appropriate.

Identifiants

pubmed: 38575155
pii: 12/2/e003854
doi: 10.1136/bmjdrc-2023-003854
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Ryan J Jalleh (RJ)

The University of Adelaide Faculty of Health and Medical Sciences, Adelaide, South Australia, Australia.

Liza Phillips (L)

Mater Hospital Brisbane, Brisbane, Queensland, Australia.

Mahesh M Umapathysivam (MM)

The University of Adelaide Faculty of Health and Medical Sciences, Adelaide, South Australia, Australia.

Karen L Jones (KL)

The University of Adelaide Faculty of Health and Medical Sciences, Adelaide, South Australia, Australia.

Chinmay S Marathe (CS)

Endocrine and Metabolic Unit, The University of Adelaide Faculty of Health and Medical Sciences, Adelaide, South Australia, Australia.

Linda E Watson (LE)

Discipline of Medicine, The University of Adelaide Faculty of Health and Medical Sciences, Adelaide, South Australia, Australia.

Michelle Bound (M)

The University of Adelaide Faculty of Health and Medical Sciences, Adelaide, South Australia, Australia.

Christopher K Rayner (CK)

The University of Adelaide Faculty of Health and Medical Sciences, Adelaide, South Australia, Australia.

Michael Horowitz (M)

The University of Adelaide Faculty of Health and Medical Sciences, Adelaide, South Australia, Australia michael.horowitz@adelaide.edu.au.

Classifications MeSH