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Review
. 2022 Dec;54(1):1776-1786.
doi: 10.1080/07853890.2022.2090601.

Post-pancreatitis diabetes mellitus: insight on optimal management with nutrition and lifestyle approaches

Amandeep Singh  1 , Manik Aggarwal  1 , Rajat Garg  1 , Tyler Stevens  1 , Prabhleen Chahal  1
Affiliations
Review

Post-pancreatitis diabetes mellitus: insight on optimal management with nutrition and lifestyle approaches

Amandeep Singh et al. Ann Med. 2022 Dec.

Abstract

Pancreatitis is the leading gastrointestinal cause of hospitalizations. There are multiple short- and long-term complications associated with pancreatitis. Post-pancreatitis diabetes mellitus (PPDM) is one of the less explored complications of pancreatitis. Nonetheless, it has attracted considerable attention during the last decade. PPDM is now the second most common cause of new-onset diabetes mellitus (DM) in adults after type II DM surpassing type 1 DM. However, there exists a knowledge gap amongst practitioners regarding diagnosis, complications, and management of PPDM. In this narrative, we aim to provide a brief review regarding risks, diagnosis and management of PPDM with a special focus on dietary and lifestyle management strategies.KEY MESSAGESPost-pancreatitis diabetes mellitus (PPDM) is now the second most common cause of new-onset diabetes mellitus (DM) in adults after type II DM surpassing type 1 DM.New-onset diabetes in patients with pancreatitis could also be an early marker of occult pancreatic malignancy.Management of PPDM is complex and requires a team-based approach including gastroenterologists, endocrinologists, primary care physicians, nutritionists, and behavioural health specialists.

Keywords: Post-pancreatitis diabetes; diet; management; nutrition.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

Figures

Figure 1.
Figure 1.
Multidisciplinary care model for patients with post-pancreatitis diabetes mellitus. Abbreviations: ADA: American Diabetes Association; CGM: Continuous glucose monitoring; DM; Diabetes mellitus; EPI: Exocrine pancreatic insufficiency; PD: Pancreatic duct.
See this image and copyright information in PMC

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Supplementary concepts