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 ono, Ryoichi Takayanagi, Tooru Shimosegawa

Research output: Contribution to journalArticle

13 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 - Aug 2010

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Epidemiologic Studies
Japan
Chronic Pancreatitis
Insulin
Hypoglycemia
Incidence
Epidemiology
Alcoholic Pancreatitis
Pancreatic Diseases
Type 1 Diabetes Mellitus
Type 2 Diabetes Mellitus
Drinking
Life Style
Cause of Death
Pathology
Therapeutics

All Science Journal Classification (ASJC) codes

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

Cite this

Ito, T., Otsuki, M., Igarashi, H., Kihara, Y., Kawabe, K., Nakamura, T., ... 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

Epidemiological study of pancreatic diabetes in japan in 2005 : A nationwide study. / Ito, Tetsuhide; Otsuki, Makoto; Igarashi, Hisato; Kihara, Yasuyuki; Kawabe, Ken; Nakamura, Taichi; Fujimori, Nao; ono, takamasa; Takayanagi, Ryoichi; Shimosegawa, Tooru.

In: Pancreas, Vol. 39, No. 6, 08.2010, p. 829-835.

Research output: Contribution to journalArticle

Ito, T, Otsuki, M, Igarashi, H, Kihara, Y, Kawabe, K, Nakamura, T, Fujimori, N, ono, T, Takayanagi, R & Shimosegawa, T 2010, 'Epidemiological study of pancreatic diabetes in japan in 2005: A nationwide study', Pancreas, vol. 39, no. 6, pp. 829-835. https://doi.org/10.1097/MPA.0b013e3181ca3da4
Ito T, Otsuki M, Igarashi H, Kihara Y, Kawabe K, Nakamura T et al. Epidemiological study of pancreatic diabetes in japan in 2005: A nationwide study. Pancreas. 2010 Aug;39(6):829-835. https://doi.org/10.1097/MPA.0b013e3181ca3da4
Ito, Tetsuhide ; Otsuki, Makoto ; Igarashi, Hisato ; Kihara, Yasuyuki ; Kawabe, Ken ; Nakamura, Taichi ; Fujimori, Nao ; ono, takamasa ; Takayanagi, Ryoichi ; Shimosegawa, Tooru. / Epidemiological study of pancreatic diabetes in japan in 2005 : A nationwide study. In: Pancreas. 2010 ; Vol. 39, No. 6. pp. 829-835.
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