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Hypoglycemm Increases the Gastric Emptying Rate in Healthy Subjects

  1. Erik Schvarcz, MD,
  2. Mats Palmér, MD,
  3. Jan Åman, MD and
  4. Christian Berne, MD, PHD
  1. Departments of Internal Medicine, Örebro Medical Center Hospital
  2. Pediatrics Örebro Medical Center Hospital
  3. Department of Internal Medicine, University Hospital Uppsala, Sweden
  1. Address correspondence and reprint requests to Erik Schvarcz, MD, Department of Internal Medicine, Örebro Medical Center Hospital, S-701 85 Örebro, Sweden.

Abstract

OBJECTIVES To compare the gastric emptying rate during normoglycemia with that during insulin-induced hypoglycemia in healthy subjects.

RESEARCH DESIGN AND METHODS In eight healthy subjects, the rate of gastric emptying of an isotope-labeled meal was assessed by a scintigraphic technique during normoglycemia and hypoglycemia, both controlled by an insulin-glucose clamp.

RESULTS The mean time taken to empty 50% of the test meal from the stomach (Tg0) for the solid phase was 43.0 ± 20.0 min during normoglycemia, compared with 16.3 ± 6.6 min during hypoglycemia, P < 0.001. The mean T50 for the liquid phase was 38.0 ± 21.2 and 15.4 ± 10.6 min, respectively, P < 0.001.

CONCLUSIONS Insulin-induced hypoglycemia increases the gastric emptying rate in healthy subjects.

  • Received June 3, 1994.
  • Accepted January 11, 1995.
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