Comprehensive Care for Pancreatic and Metabolic Health

What is Diabetes Mellitus Related to Pancreatic Disorders?

Diabetes mellitus related to pancreatic disorders, also known as Type 3c Diabetes (Pancreatogenic Diabetes), occurs when the pancreas is unable to produce sufficient insulin due to damage from underlying conditions. This type of diabetes often results from diseases that affect the pancreas, such as chronic pancreatitis, pancreatic cancer, cystic fibrosis, or pancreatic surgery.

At Central Gastro, we specialize in diagnosing and managing diabetes related to pancreatic disorders, offering personalized treatment plans to optimize blood sugar control and address the underlying pancreatic condition.

Causes of Diabetes Mellitus Related to Pancreatic Disorders

Diabetes related to pancreatic disorders is most commonly associated with:

• Chronic Pancreatitis: Long-term inflammation damages insulin-producing cells.
• Pancreatic Surgery: Removal of part or all of the pancreas can impair insulin production.
• Pancreatic Cancer: Tumors may destroy or obstruct pancreatic tissue.
• Cystic Fibrosis: Genetic disorder that affects pancreatic function and enzyme production.
• Hemochromatosis: Excess iron deposition damages the pancreas.
• Acute Pancreatitis: Severe episodes may lead to temporary or permanent insulin deficiencies.

Symptoms of Diabetes Mellitus Related to Pancreatic Disorders

Symptoms often overlap with other forms of diabetes but may also include those related to the underlying pancreatic condition:

• Frequent Urination (Polyuria): Due to high blood sugar levels.
• Excessive Thirst (Polydipsia): A result of dehydration caused by frequent urination.
• Unintended Weight Loss: Due to poor absorption of nutrients.
• Fatigue and Weakness: Resulting from high or fluctuating blood sugar levels.
• Digestive Problems: Such as steatorrhea (fatty stools), linked to pancreatic insufficiency.
• Abdominal Pain or Discomfort: If caused by chronic pancreatitis or pancreatic cancer.

Complications of Diabetes Related to Pancreatic Disorders

Without proper management, diabetes related to pancreatic disorders can lead to:

• Uncontrolled Blood Sugar Levels: Increased risk of hyperglycemia and hypoglycemia.
• Nutritional Deficiencies: Due to poor digestion and malabsorption.
• Diabetic Complications: Including nerve damage, kidney disease, and vision problems.
• Exacerbation of Pancreatic Disorders: Persistent high blood sugar can worsen the underlying condition.

Diagnosis of Diabetes Mellitus Related to Pancreatic Disorders

At Central Gastro, we use a combination of tests and evaluations to diagnose this complex condition:

1. Blood Tests:
2. Imaging Studies:

• CT Scan or MRI: To identify structural abnormalities in the pancreas.
• Endoscopic Ultrasound (EUS): For detailed imaging of the pancreas and related complications. (LINK)

3. Pancreatic Function Tests:

• To assess exocrine pancreatic insufficiency, often associated with diabetes.

4. Genetic Testing:

• In cases where cystic fibrosis or hereditary pancreatitis is suspected.

Treatment Options for Diabetes Mellitus Related to Pancreatic Disorders

Our multidisciplinary approach at Central Gastro focuses on managing blood sugar levels while addressing the underlying pancreatic condition:

1. Blood Sugar Management
2. Nutritional Support
3. Addressing Underlying Pancreatic Conditions

• Treatment for Chronic Pancreatitis: Pain management, enzyme replacement, and lifestyle changes.
• Management of Pancreatic Cancer: Surgery, chemotherapy, or radiation therapy.
• Surgical or Endoscopic Interventions: For structural abnormalities contributing to diabetes.

4. Lifestyle Changes