Yes, You Read That Right. Type 3c Diabetes-Yes it’s real, and here’s what it’s all about.
Type 3c Diabetes is not often mentioned outside of the clinical settings, where the “white coat” practitioners hang out, but:
It follows pancreatic disease and is often (mistakenly) classified as Type 2.
➡ The difference is that with Type 3c Diabetes there is much worse glycemic control and a higher need for insulin.
Simon de Lusignan, MD, MBBS, MSc, of the department of clinical and experimental medicine at the University of Surrey in the United Kingdom, and colleagues, evaluated data from primary care records in England on 2,360,631 adults,
They aimed to determine the incidence of diabetes after pancreatic disease, to explore how clinicians classify patients and to compare the clinical characteristics of Type 1 and Type 2 Diabetes.
The patients’ records were evaluated from Jan. 1, 2005, to March 21, 2016.
Here’s what they found:
➡ Acute pancreatitis is an inflammatory condition of the pancreas that is painful and at times deadly. Despite the great medical advances in the last 20 years, the mortality rate still stands at about 10%.
Each year, there are more than 300,000 admissions to the hospital for treatment of acute pancreatitis. Between 16.5% and 25% of patients who develop acute pancreatitis experience a second episode within the first several years.
➡ Acute pancreatitis usually begins with gradual or sudden pain in the upper abdomen that sometimes extends to the back. The pain may be mild at first and become worse after eating.
➡ The pain is often relentless and lasts for several days if not treated. A person with acute pancreatitis usually looks and feels very ill and needs immediate medical attention.
Diagnosing it is often difficult, delaying treatment because the pancreas is mostly inaccessible. There are no easy ways to see the pancreas directly without surgery, and available imaging studies are often inadequate.
In addition to the acute form, there are hereditary and chronic forms of pancreatitis which can devastate a person over many years. Patients often endure pain and malnutrition and have a higher risk of pancreatic cancer.
The patients in the study were diagnosed with diabetes following pancreatic disease and were then divided into 2 groups:
1. Diabetics diagnosed after an incidence of acute pancreatitis:
This is a sudden inflammation of the pancreas that may be mild or life-threatening but usually subsides.
- Gallstones and alcohol abuse are the main causes of acute pancreatitis.
- The predominant symptom is a severe abdominal pain.
2. Diabetics diagnosed after the discovery of chronic pancreatic disease.
Chronic Pancreatic Disease is inflammation of the pancreas that does not heal or improve—it gets worse over time and leads to permanent damage.
- It eventually impairs a patient’s ability to digest food and make pancreatic hormones.
The follow-up continued for 4.5 years from the date of their diabetes diagnosis.
The highest incidence was found for adult-onset Type 2 Diabetes who were diagnosed after pancreatic disease.
➡ At the 1-year follow-up, poor control of blood glucose (sugar) levels was more common in participants with diabetes which developed after pancreatic disease than those with Type 2 Diabetes without pancreatic involvement.
➡ At the 5-year follow-up, insulin use was most common in participants with diabetes diagnosed after chronic pancreatic disease.
Diabetes of the pancreas, Type 3c Diabetes, must be correctly diagnosed so that the treatment can be tailored to the patient’s current and future needs, including their insulin and medication therapy.