Interní Med. 2008; 10(4): 159-160
Pancreatic diabetes
- Klinika gerontologická a metabolická, Fakultní nemocnice
In the treatment of pancreatic diabetes is important to assess the need of insulin treatment, risk of hypoglycemia and microangiopatic complications. Insulin treatment of pancreatic diabetes is not necessary in case of sufficient residual insulin secretion and good control of diabetes by oral hypoglycemic agents. It is necessary to stop alcohol intake in patients with chronic alcoholic pancreatitis. Early endoscopic or surgical treatment of stenosis or oclusions of pancreatic ductus is important. Further destruction of pancreatic tissue might be prevented by this way and its complication, for example a need of insulin treatment, higher risk of hypoglycemia and progression of microangiopatic complications of diabetes delayed.
Keywords: diabetes mellitus, pancreatic disease, treatment
Published: May 1, 2008 Show citation
References
- Bartoš V. Průběh a léčení diabetu u chronické pankreatitidy. Diabetes Metabolismus Endokrinologie Výživa 1999, 2: 110-112.
- Bartoš V. Diabetes mellitus při chorobách exokrinního pankreatu. In: Bartoš V a kol. Praktická diabetologie. Maxdorf, Praha 2000: 327-330.
- Dítě P. Pankreas. In: Mařatka Z a kol. Gastroenterologie. Karolinum, Praha 1999: 363-383.
- Hackert T, et al. Acute retinopathy following pancreatic head resection for chronic pancreatitis: A rare, severe complication. Journal of the pancreas 2005, 6: 460-463.
Go to PubMed... - Levitt N, Adams G. The prevalence and severity of microvascular complications in pancreatic diabetes and IDDM. Diabetes Care 1995, 18: 971-974.
Go to original source... Go to PubMed... - Saruc M, Pour P. Diabetes and its relationship to pancreatic carcinoma. Pancreas 2003, 26: 381-387. Go to original source... Go to PubMed...