Jennifer Shurney Vonderau is a clinical assistant professor in the PA program at the University of North Carolina at Chapel Hill, N.C. Chirag S. Desai is a professor of surgery, surgical director of liver transplant, and director of chronic pancreatitis and autologous islet cell transplant in the Department of Surgery, Division of Abdominal Transplant at the University of North Carolina Medical Center in Chapel Hill. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2022 Nov 1;35(11):20-24. doi: 10.1097/01.JAA.0000885140.47709.6f.
Type 3c diabetes, also known as pancreatogenic diabetes, occurs when primary pancreatic disorders damage the pancreatic islets of Langerhans. Although often misdiagnosed as type 2 diabetes, type 3c diabetes is different in cause, clinical presentation, treatment, and prognosis. Patients with type 3c diabetes are more likely to experience complications and death related to hypoglycemic events. This article reviews the causes and management of type 3c diabetes, which is estimated to affect 5% to 10% of all patients with diabetes.
3 型糖尿病,也称胰源性糖尿病,当原发性胰腺疾病损伤胰岛时发生。尽管常误诊为 2 型糖尿病,但 3 型糖尿病在病因、临床表现、治疗和预后方面均不同。3 型糖尿病患者更易发生与低血糖事件相关的并发症和死亡。本文综述了 3 型糖尿病的病因和管理,据估计,所有糖尿病患者中有 5%~10%患该病。