Gastrointestinal tract symptoms among persons with diabetes mellitus in the community

Dordaneh Maleki, G. Richard Locke, Michael Camilleri, Alan R. Zinsmeister, Barbara P. Yawn, Cynthia Leibson, L. Joseph Melton

Research output: Contribution to journalArticle

176 Citations (Scopus)

Abstract

Background: Gastrointestinal (GI) tract symptoms are common among patients with diabetes mellitus (DM) seen in tertiary care centers. The degree to which this reflects referral bias is unclear. Objectives: To determine whether GI tract symptoms are more prevalent in unselected patients with DM from the general community compared with their age- and sex-matched counterparts without DM and to assess the association of GI tract symptoms in persons with DM with psychosomatic symptoms, medication use, and symptoms of autonomic neuropathy. Methods: In this population-based, cross-sectional study, Olmsted County, Minnesota, residents with type 1 DM, a random sample of residents with type 2 DM, and 2 age-and sex-stratified random samples of nondiabetic residents (total of 1262 person for the 4 groups) were mailed a previously validated symptom questionnaire. Results: Heartburn was less common in residents with type 1 DM vs cant difference in prevalence was detected (residents with type 1 DM vs controls; residents with type 2 DM vs controls) for nausea or vomiting (12% vs 11%; 6% vs 6%), dyspepsia (19% vs 21%; 13% vs 17%), or constipation (17% vs 14%; 10% vs 12%). However, constipation and/or laxative use was slightly more common in residents with type 1 DM (27% vs 19%; P<.15), particularly in men, and was associated with the intake of calcium channel blockers. Conclusions: In the community, the prevalence of most GI tract symptoms is similar in persons with or without DM, except for a lower prevalence of heartburn and an increased prevalence of constipation or laxative use in residents with type 1 DM, especially in men. This difference is associated with calcium channel blocker use rather than symptoms of autonomic neuropathy. In community-based practices, physicians should not immediately assume that GI tract symptoms in patients with DM represent a complication of DM.

Original languageEnglish (US)
Pages (from-to)2808-2816
Number of pages9
JournalArchives of Internal Medicine
Volume160
Issue number18
StatePublished - Oct 9 2000

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Gastrointestinal Tract
Diabetes Mellitus
Type 1 Diabetes Mellitus
Constipation
Heartburn
Laxatives
Calcium Channel Blockers
Type 2 Diabetes Mellitus
Dyspepsia
Diabetes Complications
Tertiary Care Centers
Nausea
Vomiting
Referral and Consultation
Cross-Sectional Studies
Physicians
Population

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Maleki, D., Locke, G. R., Camilleri, M., Zinsmeister, A. R., Yawn, B. P., Leibson, C., & Melton, L. J. (2000). Gastrointestinal tract symptoms among persons with diabetes mellitus in the community. Archives of Internal Medicine, 160(18), 2808-2816.

Gastrointestinal tract symptoms among persons with diabetes mellitus in the community. / Maleki, Dordaneh; Locke, G. Richard; Camilleri, Michael; Zinsmeister, Alan R.; Yawn, Barbara P.; Leibson, Cynthia; Melton, L. Joseph.

In: Archives of Internal Medicine, Vol. 160, No. 18, 09.10.2000, p. 2808-2816.

Research output: Contribution to journalArticle

Maleki, D, Locke, GR, Camilleri, M, Zinsmeister, AR, Yawn, BP, Leibson, C & Melton, LJ 2000, 'Gastrointestinal tract symptoms among persons with diabetes mellitus in the community', Archives of Internal Medicine, vol. 160, no. 18, pp. 2808-2816.
Maleki D, Locke GR, Camilleri M, Zinsmeister AR, Yawn BP, Leibson C et al. Gastrointestinal tract symptoms among persons with diabetes mellitus in the community. Archives of Internal Medicine. 2000 Oct 9;160(18):2808-2816.
Maleki, Dordaneh ; Locke, G. Richard ; Camilleri, Michael ; Zinsmeister, Alan R. ; Yawn, Barbara P. ; Leibson, Cynthia ; Melton, L. Joseph. / Gastrointestinal tract symptoms among persons with diabetes mellitus in the community. In: Archives of Internal Medicine. 2000 ; Vol. 160, No. 18. pp. 2808-2816.
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abstract = "Background: Gastrointestinal (GI) tract symptoms are common among patients with diabetes mellitus (DM) seen in tertiary care centers. The degree to which this reflects referral bias is unclear. Objectives: To determine whether GI tract symptoms are more prevalent in unselected patients with DM from the general community compared with their age- and sex-matched counterparts without DM and to assess the association of GI tract symptoms in persons with DM with psychosomatic symptoms, medication use, and symptoms of autonomic neuropathy. Methods: In this population-based, cross-sectional study, Olmsted County, Minnesota, residents with type 1 DM, a random sample of residents with type 2 DM, and 2 age-and sex-stratified random samples of nondiabetic residents (total of 1262 person for the 4 groups) were mailed a previously validated symptom questionnaire. Results: Heartburn was less common in residents with type 1 DM vs cant difference in prevalence was detected (residents with type 1 DM vs controls; residents with type 2 DM vs controls) for nausea or vomiting (12{\%} vs 11{\%}; 6{\%} vs 6{\%}), dyspepsia (19{\%} vs 21{\%}; 13{\%} vs 17{\%}), or constipation (17{\%} vs 14{\%}; 10{\%} vs 12{\%}). However, constipation and/or laxative use was slightly more common in residents with type 1 DM (27{\%} vs 19{\%}; P<.15), particularly in men, and was associated with the intake of calcium channel blockers. Conclusions: In the community, the prevalence of most GI tract symptoms is similar in persons with or without DM, except for a lower prevalence of heartburn and an increased prevalence of constipation or laxative use in residents with type 1 DM, especially in men. This difference is associated with calcium channel blocker use rather than symptoms of autonomic neuropathy. In community-based practices, physicians should not immediately assume that GI tract symptoms in patients with DM represent a complication of DM.",
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N2 - Background: Gastrointestinal (GI) tract symptoms are common among patients with diabetes mellitus (DM) seen in tertiary care centers. The degree to which this reflects referral bias is unclear. Objectives: To determine whether GI tract symptoms are more prevalent in unselected patients with DM from the general community compared with their age- and sex-matched counterparts without DM and to assess the association of GI tract symptoms in persons with DM with psychosomatic symptoms, medication use, and symptoms of autonomic neuropathy. Methods: In this population-based, cross-sectional study, Olmsted County, Minnesota, residents with type 1 DM, a random sample of residents with type 2 DM, and 2 age-and sex-stratified random samples of nondiabetic residents (total of 1262 person for the 4 groups) were mailed a previously validated symptom questionnaire. Results: Heartburn was less common in residents with type 1 DM vs cant difference in prevalence was detected (residents with type 1 DM vs controls; residents with type 2 DM vs controls) for nausea or vomiting (12% vs 11%; 6% vs 6%), dyspepsia (19% vs 21%; 13% vs 17%), or constipation (17% vs 14%; 10% vs 12%). However, constipation and/or laxative use was slightly more common in residents with type 1 DM (27% vs 19%; P<.15), particularly in men, and was associated with the intake of calcium channel blockers. Conclusions: In the community, the prevalence of most GI tract symptoms is similar in persons with or without DM, except for a lower prevalence of heartburn and an increased prevalence of constipation or laxative use in residents with type 1 DM, especially in men. This difference is associated with calcium channel blocker use rather than symptoms of autonomic neuropathy. In community-based practices, physicians should not immediately assume that GI tract symptoms in patients with DM represent a complication of DM.

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