Moinade S, Meyrand G
Sem Hop. 1979;55(41-42):1883-6.
The association of chronic pancreatitis with diabetes is not very common. Men are the usual victims and ethylism the usual cause. The most common age of onset is between 40 and 50. Insulin treatment is much more frequent than for idiopathic diabetics. Diabetic heredity is probable. Calcifying pancreatitis is the most frequent form. Micro and macroangiopathic complications are found. A statistical comparative study with a matched series of idiopathic diabetics reveals no difference in the onset of vascular complications. The rate of triglycerides is statistically lower in pancreatitis (p less than 0.001). The other biological rates are the same (cholesterol, uricemy, alpha 2 macroglobulin). Diabetic stability is no more difficult to obtain than for idiopathic diabetics. In most cases the diet should be wide and alcohol must be prohibited.
慢性胰腺炎与糖尿病的关联并不常见。男性是常见受害者,酒精中毒是常见病因。最常见的发病年龄在40至50岁之间。胰岛素治疗比特发性糖尿病患者更为频繁。可能存在糖尿病遗传因素。钙化性胰腺炎是最常见的类型。会出现微血管和大血管并发症。一项与匹配的特发性糖尿病系列进行的统计比较研究显示,血管并发症的发病情况没有差异。胰腺炎患者的甘油三酯水平在统计学上较低(p小于0.001)。其他生物学指标相同(胆固醇、尿酸、α2巨球蛋白)。糖尿病的稳定性与特发性糖尿病患者相比并不难实现。在大多数情况下,饮食应丰富多样,必须禁酒。