When most of us are thinking about gastric emptying problems and diabetes,

I think most of us think about delayed gastric emptying.

And we don't think too much about rapid gastric emptying,

which is not only associated with similar symptoms of delayed gastric emptying,

but is also very prevalent. And too many people these days,

we just are judgmental and make our judgments too hastily. And how do I know this? I can just tell

that by looking at people. I think it's fair to say that none of us thinks our clinical judgment

is that great when we see diabetics with upper abdominal symptoms,

and in particular when it comes to whether they have rapid or delayed gastric emptying.

And actually, if you're a betting person, bet on them having normal gastric emptying.

Not that I think we should bet on people's diagnoses, though, I'll bet

you 50 bucks. I have a gambling problem. But if you're looking at diabetics with upper abdominal

symptoms, about 25% roughly have delayed diabetic gastroporesis, about 50% have normal gastric emptying, and then roughly about

25% have rapid gastric emptying. So we probably don't think about rapid

gastric emptying too much in diabetes, but it's as least as big of a problem as

delayed gastricempting,

or what we consider diabetic gastroporesis.

And for those wisely going through life with a trust-but-verify mindset,

those numbers come from a table in the New England Journal Medicine

on May 6, 2021 on page 1,746.

Specifically from a review article titled Gastric Empting, Abnormalities, and Diabetes,

Maitis, so done by Dr. Raj Goyle and I thought done very well.

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