Abstract:
Objective To investigate the relationship between gastroparesis and PBG in elderly patients with T2DM.
Methods Eighty patients were devided into 2 groups: non-elderly DM group (n=22, <60 years old) and elderly DM group (n=58, ≥60 years old). Twenty health participants were used as the control group. Half time gastric emptying of liquid and solid (T1/2), fasting blood sugar, 1 h, 2 h and 3 h PBG, HbA1c and 24 h urine protein were evaluated by SPECT technics.
Results Half time gastric emptying of solid (T1/2) of non-elderly DM group and elderly DM group were significantly higher than control group (t=3.56、9.36, P<0.05 or 0.01). The delay rate of solid phase of elder DM group is significantly higher than non-elderly DM group (t=5.21, P<0.05). T1/2, fasting blood sugar, 2 h and 3 h PBG, HbA1c and 24 h urine protein of elderly DM group is significantly higher than non-elderly DM group (t=2.67、3.12、3.43, P<0.05 or 0.01). The peak time of blood sugar of elder diabetics was in 3-hour after meals.
Conclusion Diabetic gastroparesis is a common chronic complication of T2DM, the incidence of gastroparesis is high. Doctors should pay attention to the delayed peak time of PBG.
Key words:
Diabetes mellitus, type 2,
Gastroparesis,
Gastric emptyinge,
Standard meal,
SPECT imaging technics
Qingqing Wang, Beibei Zhang, Cen Lou. The correlation of gastroparesis and postprandial blood glucose in elderly patients with type 2 diabetes mellitus[J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2014, 01(01): 24-26.