INTRODUCTION - Prevalence of retinopathy and neuropathy in patients with insulin dependent and pancreatic diabetes was investigated in this study. PATIENTS AND METHODS - 42 patients with chronic alcoholic pancreatitis and secondary diabetes, as well as 42 insulin dependent diabetics were entered consecutively. The duration of diabetes was the same in both group. Retinopathy was eveluated by FLAG and/or ophthalmoscopy, for detection of peripheric neuropathy and autonomic neuropathy biothesiometry and well established cardiologic reflex tests were used. RESULTS - The prevalence of retinopathy was not significantly different between the groups (21% in pancreatic and 26% in IDDM). The prevalence of peripherial neuropathy and autonomic neuropathy was significantly higher in the group of pancreatic diabetics as compared to the IDDM group (50% vs. 5%, and 35% vs. 2.5%) respectively. The HbA1C concentration was significantly more elevated in the group of pancreatic diabetes (8.8 ± 2.3 %), than in the primary diabetes group (6.8 ± 1.8%). CONCLUSION - In conclusion, frequency of neuropathy in chronic pancreatitis related diabetes is substantially higher than in IDDM patients. More attention should be payed for optimal therapy and early detection of different complications in pancreatic diabetes mellitus.
|Number of pages||6|
|Journal||Lege Artis Medicinae|
|Publication status||Published - dec. 1 1996|
- Chronic pancreatitis
- Insulin dependent diabetes mellitus
- Pancreatic diabetes
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