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Prevalence of diabetes mellitus secondary to pancreatic diseases (type 3c)
Diabetes/metabolism research and reviews, 2012-05, Vol.28 (4), p.338-342
Ewald, N.
Kaufmann, C.
Raspe, A.
Kloer, H. U.
Bretzel, R. G.
Hardt, P. D.
2012
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Ewald, N.
Kaufmann, C.
Raspe, A.
Kloer, H. U.
Bretzel, R. G.
Hardt, P. D.
Titel
Prevalence of diabetes mellitus secondary to pancreatic diseases (type 3c)
Ist Teil von
Diabetes/metabolism research and reviews, 2012-05, Vol.28 (4), p.338-342
Ort / Verlag
Chichester, UK: John Wiley & Sons, Ltd
Erscheinungsjahr
2012
Quelle
Wiley Online Library - AutoHoldings Journals
Beschreibungen/Notizen
Background Diabetes mellitus secondary to pancreatic diseases is a condition seldom thought of in clinical practice. Yet, a high percentage of exocrine pancreatic insufficiency has been reported for the general population and especially for diabetic subjects. Thus, we investigated the prevalence of diabetes mellitus due to pancreatic diseases. Methods In this study, we investigated 1868 patients diagnosed with diabetes mellitus who had been admitted to our hospital during the last 24 months. Patient data were diligently studied, and patients were reclassified according to the diabetes classification as proposed by the American Diabetes Association. Results Among 1868 subjects, 172 patients could be classified as type 3c diabetes mellitus (9.2%). Among these were 135 diagnosed with chronic pancreatitis (78.5%), 12 with hereditary haemochromatosis, 14 with pancreatic cancer and 7 with cystic fibrosis. Thus, diabetes mellitus due to chronic pancreatitis occurred in this collective in 7.2% of all diabetic subjects. Misclassification of these patients was very common. Only 51.2% (88/172) were initially classified correctly. Most type 3 diabetes patients were initially misclassified as type 2 diabetes (69/84). Conclusions Diabetes mellitus secondary to pancreatic diseases (especially chronic pancreatitis) seems more common than generally believed with a prevalence of 9.2% among the subjects studied here. Because the awareness of this diabetes type is poor, misclassification is quite frequent. A common problem seems to be the differentiation between type 2 and type 3. Yet, the right classification of diabetes mellitus is important, because there are special therapeutic options and problems in patients with diabetes secondary to pancreatic diseases. Copyright © 2011 John Wiley & Sons, Ltd.
Sprache
Englisch
Identifikatoren
ISSN: 1520-7552
eISSN: 1520-7560
DOI: 10.1002/dmrr.2260
Titel-ID: cdi_proquest_miscellaneous_1012747382
Format
–
Schlagworte
Adolescent
,
Adult
,
Aged
,
Aged, 80 and over
,
Child
,
chronic pancreatitis
,
diabetes classification
,
diabetes mellitus
,
Diabetes Mellitus - epidemiology
,
Diabetes Mellitus - etiology
,
exocrine pancreatic insufficiency
,
Female
,
Germany - epidemiology
,
Humans
,
Male
,
Middle Aged
,
pancreatic diseases
,
Pancreatic Diseases - complications
,
Pancreatic Diseases - epidemiology
,
Prevalence
,
Retrospective Studies
,
Statistics, Nonparametric
,
Young Adult
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