Pancreatogenic diabetes mellitus: incidence and detection rate analysis

Aims. The article addresses incidence and causes of belated diagnostics of pancreatogenic diabetes mellitus (DM). Materials and methods. In 367 patients with chronic biliary or alcoholic pancreatitis (CP) glycemia and glycated hemoglobin HbA1c levels were testedin order to detect a metabolic disorder (DM or impaired glucose tolerance). Results. We observed positive correlation between duration of CP (1 to 10 years) and incidence of DM, with the latter being 3 to 5 times greater inpatients with 10 years of CP experience. During remission period 44,8% of patients were not aware of development of DM. In more than 80% ofpatients CP was diagnosed during admission for exacerbation of DM. Conclusion. Low detection rates of pancreatogenic DM is largely due to insufficient risk awareness of patients as well as inadequate attention of medicalpractitioners to the problem of CP and DM comorbidity.