The 501st case: elevated blood glucose, chronic pancreatitis, and post- pancreatoduodenectomy malnutrition / 中华内科杂志
Chinese Journal of Internal Medicine
; (12): 891-895, 2023.
Article
em Zh
| WPRIM
| ID: wpr-986004
Biblioteca responsável:
WPRO
ABSTRACT
A 50-year-old man with a 15-year history of elevated blood glucose and an approximately 2-year history of diarrhea was admitted to the Peking Union Medical College Hospital. The initial diagnosis was type 2 diabetes. After repeated pancreatitis and pancreatoduodenectomy, severe pancreatic endocrine and exocrine dysfunction including alternating high and low blood glucose and fat diarrhea occurred. Tests for type 1 diabetes-related antibodies were all negative, C-peptide levels were substantially reduced, fat-soluble vitamin levels were reduced, and there was no obvious insulin resistance. Therefore, a diagnosis of pancreatic diabetes was clear. The patient was given small doses of insulin and supplementary pancreatin and micronutrients. Diarrhea was relieved and blood glucose was controlled. The purpose of this article is to raise clinicians' awareness of the possibility of pancreatic diabetes after pancreatitis or pancreatic surgery. Timely intervention and monitoring may reduce the occurrence of complications.
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Glicemia
/
Pancreaticoduodenectomia
/
Desnutrição
/
Diabetes Mellitus Tipo 2
/
Pancreatite Crônica
Limite:
Humans
/
Male
Idioma:
Zh
Revista:
Chinese Journal of Internal Medicine
Ano de publicação:
2023
Tipo de documento:
Article