Nucpaedia
Nucpaedia
Gastrointestinal · ⁹⁹ᵐTc-labelled solid meal · Beginner

Nausea and early satiety in a woman with type 1 diabetes

History

38-year-old woman with type 1 diabetes for 22 years (HbA1c 71 mmol/mol) and 6 months of nausea, early satiety, bloating and occasional vomiting. Gastroscopy normal. Medication: basal-bolus insulin and codeine phosphate 30 mg four times daily for back pain, started 2 months ago. On the morning of the study her pre-meal capillary glucose was 17.8 mmol/L and she had taken her usual codeine. Request: gastroparesis?

Step 1 · The first study

Simulated images after a ⁹⁹ᵐTc-labelled egg-white meal: anterior views at 0, 1, 2 and 4 h and the retention curve.
Simulated images after a ⁹⁹ᵐTc-labelled egg-white meal: anterior views at 0, 1, 2 and 4 h and the retention curve.

How would you classify the result against the consensus limits?

Spotted an error or something out of date? Report an error