Patient case – emergency gastric complication of type 1 diabetes
An emergency presentation leads to the diagnosis of a gastric complication of type 1 diabetes.
Jamilla, 41, presents to hospital with epigastric pain, nausea and vomiting on a background of type 1 diabetes, diagnosed 11 years ago.
During admission, she undergoes a gastric emptying study and is diagnosed with gastroparesis.
This is presumed secondary to autonomic neuropathy, although she has no other complications of diabetes.
Her symptoms are managed with dietary modification and prokinetics: metoclopramide 10mg, domperidone 10mg and erythromycin 50mg — all taken before meals, three times a day.
