Acute pancreatitis in diabetics

Czech version

Authors: L. Sobotka
Authors‘ workplace: Klinika gerontologická a metabolická Lékařské fakulty UK a FN Hradec Králové, přednosta prof. MUDr. Luboš Sobotka, CSc.
Published in: Vnitř Lék 2011; 57(4): 372-374
Category: 12th national Symposium diabetes, "Diabetes and Gastroenterology", Hradec Kralove, 4 to 5 June 2010

Overview

All diabetic patients with acute pancreatitis should be intensively treated and monitored in spite of the fact that 75–80% have mild-to-moderate disease. This is due to difficult diagnosis and problems with standard monitoring due to diabetes and its complications. Especially intensive rehydration and subsequent fluid mobilisation can be difficult. Also glucose control and impaired gut motility can cause difficulties in diabetic patients with acute pancreatitis. Nutrition support should be implemented according to severity of disease and insulin infused to control glycaemia.

Key words:
acute pancreatitis – diabetes mellitus – nutrition – fluid resuscitation

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