CASE REORT ON TYPE 3C DIABETES MELLITUS

A. Mathesh, S. Shirly
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Abstract

Type 3c diabetes mellitus is also called as pancreatogenic or pancretogenus diabetes mellitus.It is mainly caused due to chronic pancreatitis and cystic fibrosis.Chronic pancreatitis is a disease characterized by pancreatic inflammatory and fibrotic injury resulting in irreversible parenchymal damage which leads to destruction of alpha,beta and delta cells in the pancreas. This destruction leads to an unpredictable level of glucose in the blood. Treatment for type 3c diabetes differs from type 1 and type2 diabetes but Type 3c diabetes is often misdiagnosed as type 2 diabetes. It is difficult to diagnose and classify patient with type 3c diabetes mellitus because long standing type 1 and type 2 diabetes mellitus are associated with exocrine pancreatic failure and acute or chronic pancreatitis.There are no separate guidelines for type 3c diabetes mellitus. Patient with type 3c diabetes required pancreatic enzyme replacement therapy that aid in digestion and insulin to optimize glycemic control and they experience episodes of hyperglycemia and hypoglycemia, so their blood glucose levels should be closely monitored
3c 型糖尿病病例报告
慢性胰腺炎是一种以胰腺炎症和纤维化损伤为特征的疾病,造成不可逆的实质损伤,导致胰腺中的α、β和δ细胞破坏。这种破坏导致血液中葡萄糖水平不可预测。3c 型糖尿病的治疗方法与 1 型和 2 型糖尿病不同,但 3c 型糖尿病经常被误诊为 2 型糖尿病。对 3c 型糖尿病患者进行诊断和分类很困难,因为长期存在的 1 型和 2 型糖尿病与胰腺外分泌功能衰竭、急性或慢性胰腺炎有关。3c 型糖尿病患者需要胰酶替代疗法来帮助消化,并需要胰岛素来优化血糖控制,他们会出现高血糖和低血糖,因此应密切监测他们的血糖水平。
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