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. 2023 Jan;21(1):226-228.e1.
doi: 10.1016/j.cgh.2021.11.011. Epub 2021 Nov 16.

Autoimmunity May Explain Diabetes in a Subset of Patients With Recurrent Acute and Chronic Pancreatitis: A Pilot Study

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Autoimmunity May Explain Diabetes in a Subset of Patients With Recurrent Acute and Chronic Pancreatitis: A Pilot Study

Dhiraj Yadav et al. Clin Gastroenterol Hepatol. 2023 Jan.

Abstract

Pancreatogenic diabetes mellitus, also termed type 3c diabetes (T3cD), or glucose intolerance develops in 25%-75% of adults with chronic pancreatitis (CP). The primary pathophysiologic defect in T3cD is insulin deficiency, thought to result largely from "bystander" injury to the islets from fibrotic changes in the exocrine pancreas and cytokine-induced beta cell dysfunction from intrapancreatic inflammation.1.

Trial registration: ClinicalTrials.gov NCT01545167.

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