Severe gastroparesis associated recurrent hypoglycemic unconsciousness in diabetic neuropathy

The gastric emptying rate has a decisive role in the regulation of blood glucose in diabetic patients. In some cases the gastric hypomotility might result an insufficient glucose absorption leading to extreme metabolic instability. Here we describe the diagnostic and the therapeutic strategy of this motility disorder. A 45 years old man was admitted to the department of neurology with severe recurrent convulsions and transient unconsciousness. His pancreatic diabetes developed 10 years before when the head of the pancreas was removed due to a pseudocyst. As the neurological diagnostic procedures did not reveal a…