JOHN S. GOFF, M.D.
To the editor: Diabetic diarrhea is a rare but distinct complication of diabetes mellitus, characterized by watery stools often occurring at night, and frequently associated with incontinence. Extensive evaluation of these patients occasionally reveals a treatable cause, but usually it shows several abnormalities in concert causing the problem. A recent study has shown that these patients frequently have steatorrhea, voluminous stools, rapid whole-gut transit times, mild to moderate exocrine pancreatic dysfunction, or abnormalities of gastric emptying (1). Because these patients rarely have single problems that are treatable, such as sprue, pancreatic insufficiency, or small bowel bacterial overgrowth, the primary therapeutic
GOFF JS. Diabetic Diarrhea and Lidamidine. Ann Intern Med. ;101:874–875. doi: 10.7326/0003-4819-101-6-874
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Published: Ann Intern Med. 1984;101(6):874-875.
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