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Gastrointestinal symptoms and pancreatic exocrine insufficiency in type 1 and type 2 diabetes
Author(s) -
Cummings Michael H,
Chong Lina,
Hunter Victoria,
Kar Partha S,
Meeking Darryl R,
Cranston Iain CP
Publication year - 2015
Publication title -
practical diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.205
H-Index - 24
eISSN - 2047-2900
pISSN - 2047-2897
DOI - 10.1002/pdi.1924
Subject(s) - medicine , bloating , exocrine pancreatic insufficiency , gastroenterology , abdominal pain , diabetes mellitus , type 2 diabetes , weight loss , malabsorption , type 2 diabetes mellitus , pancreas , endocrinology , obesity
Our review of clinical practice demonstrates that gastrointestinal ( GI ) symptoms were common in patients with type 1 and type 2 diabetes seen within our diabetes service. In those patients who are symptomatic, we observed that 42% had low faecal elastase 1 levels consistent with the diagnosis of pancreatic exocrine insufficiency ( PEI ). The presence of steatorrhoea and weight loss alone were insufficient to screen for PEI , and other GI symptoms (such as diarrhoea, abdominal cramps/pain and bloating) need to be additionally sought. Copyright © 2015 John Wiley & Sons, Ltd.