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Internal Medicine
Diabetes mellitus rarely occurs in chronic pancreatitis. For most patients, serum
glucose level of 200 to 250 mg is acceptable and doesn’t require treatment. It is
better to maintain the patient in a slightly hyperglycaemic range than run a risk
hypoglycaemia caused by overzealous administration of insulin.
Patients with chronic pancreatitis are at increased risk for pancreatic cancer.
Worsening of symptoms, especially with development of a pancreatic duct stricture,
should prompt an examination for malignancy.
1) Kasper L., Braunwald E., Harrison’s principles of Internal medicine, 16th Edition, Acute
and chronic pancreatitis, 1895-1906.
2) Myers R. Allen, National Medical Series for independent Study (NMS) 3rd edition
Medicine, Diseases of the pancreas, pages 240-244.