Epidemiological study of pancreatic diabetes in japan in 2005: A nationwide study

Tetsuhide Ito, Makoto Otsuki, Hisato Igarashi, Yasuyuki Kihara, Ken Kawabe, Taichi Nakamura, Nao Fujimori, Takamasa Oono, Ryoichi Takayanagi, Tooru Shimosegawa

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15 Citations (Scopus)

Abstract

Objectives: There have been few epidemiological studies on pancreatic diabetes. In this study, we determined the incidence and pathology of pancreatic diabetes in Japan. Methods: We examined the epidemiology of pancreatic diabetes in Japan in 2005 by using a nationwide stratified random-sampling method. Especially, we focused on newly developed diabetes in association with the occurrence of pancreatic disease (true pancreatic diabetes). Results: A total of 19,500 individuals received treatment for true pancreatic diabetes, accounting for 0.8% of patients with diabetes. Prevalence was estimated to be 15.2 per 100,000 with an annual onset incidence of 1.1 per 100,000. With regard to the complications in true pancreatic diabetes, the incidence of retinopathy was lower than that in types 1 and 2 diabetes. Among true pancreatic diabetes with chronic pancreatitis, alcoholic pancreatitis was found in the largest sector. Furthermore, as many as 53.7% were continuous drinkers, and 66.7% received insulin therapy. The frequency of hypoglycemia was high in regular drinkers treated with insulin. Hypoglycemia was a major cause of death in patients who were on insulin and continuous drinkers. Conclusion: We clarified the epidemiology of pancreatic diabetes in Japan. Patients with chronic pancreatitis-associated pancreatic diabetes should receive lifestyle guidance focused on drinking cessation.

Original languageEnglish
Pages (from-to)829-835
Number of pages7
JournalPancreas
Volume39
Issue number6
DOIs
Publication statusPublished - 2010 Aug

Keywords

  • chronic pancreatitis
  • diabetic complication
  • epidemiology
  • nationwide survey
  • pancreatic diabetes

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Hepatology
  • Endocrinology

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  • Cite this

    Ito, T., Otsuki, M., Igarashi, H., Kihara, Y., Kawabe, K., Nakamura, T., Fujimori, N., Oono, T., Takayanagi, R., & Shimosegawa, T. (2010). Epidemiological study of pancreatic diabetes in japan in 2005: A nationwide study. Pancreas, 39(6), 829-835. https://doi.org/10.1097/MPA.0b013e3181ca3da4