Journal of Nutrition Research
An official journal of IAPEN India association

Abstract

Diabetes is one of the common causes of gastroparesis, with data suggesting that approximately 5 to 12% patients with diabetes have symptoms consistent with gastroparesis. A 60-year-old male, who was a known diabetic for last 20 years and had been on regular oral hypoglycemic, presented with complaints of early satiety, bloating, and abdominal distension for last 10 years on and off. He was being treated with proton pump inhibitors (PPIs) for long duration but without any substantial relief. In terms of biochemical parameters, patient was seen to be having uncontrolled glucose levels both in fasting and postprandial levels. The patient was diagnosed to be suffering from diabetic Gastroparesis and his oral hypoglycemic agents were changed so that his glucose levels were controlled. Further, to manage gastrointestinal symptoms and underlying gastroparesis due to which patient was symptomatic, he was put on combination of PPI (pantoprazole) plus levosulpiride 75 mg per day.

Keywords: Non-alcoholic fatty liver disease, Liver fibrosis, Liver biopsy, Diabetes Mellitus, Metabolic Syndrome