Diabetic stomach gurgling, mostly caused by intestinal hyperphonia manifestation, may be a carbose, metformin and other glucose-lowering drugs caused by adverse reactions, but also can be seen in the digestive system diseases or other factors. 1. Adverse drug reactions: During the administration of acarbose, carbohydrate fermentation in the gastrointestinal tract increases, consumption of sugary foods may cause gastrointestinal flatulence and increased bowel sounds, and occasional adverse reactions such as diarrhea and abdominal pain, which can be relieved by reducing sugary diets. Common adverse reactions to metformin include gastrointestinal reactions, which may also manifest as increased bowel sounds. 2. Digestive disorders: For example, dyspepsia, lactose intolerance, dysentery, gastrointestinal infections, and stress bowel disease may lead to hyperacute bowel sounds. 3. Other factors: consuming gas-prone foods or drinks, eating too fast, hyperthyroidism, hunger and other causes. Diabetics with gurgling stomach are advised to actively seek medical attention and not to self-medicate to avoid adverse consequences.