A STUDY OF BODY COMPOSITION AND INSULIN RESISTANCE IN PATIENTS OF CHRONIC PANCREATITIS

Dr Rahul Sharma; Dr Amit Bajpai

Volume : VII, Issue : XI, November - 2018

A STUDY OF BODY COMPOSITION AND INSULIN RESISTANCE IN PATIENTS OF CHRONIC PANCREATITIS

Dr Rahul Sharma, Dr Amit Bajpai

Abstract :

Diabetes secondary to pancreatic diseases is commonly referred to as pancreatogenic diabetes or type 3c diabetes mellitus. The failure to correctly diagnose type 3 diabetes mellitus leads to a failure to implement an appropriate medical therapy.Aim: To evaluate the body composition and insulin resistance in patients of chronic pancreatitis with & without diabetes. Methodolgy: A cross sectional study at a tertiary Hospital of North India of 50 cases diagnosed of chronic pancreatitis based on CT scan and USG was done. They were divided into two groups depending on presence (28 cases) or absence(22cases) of diabetes. Various physiological and biochemical parameters of these groups were compared and analysed. Results: HBA1c,ALKP, Total cholesterol, Body Fat, Physiological Age, and Fat % showed higher values in the diabetic group Vs non diabetic group. Statistically significant lower values of mean weight, mean abdominal circumference, hip circumference,BMC, RMR,FAT MASS and visceral fat in the diabetic group was seen. Conclusion: There is significant correlation between body parameters indicating insulin resistance which can form a part of diagnostic and follow up evaluation of chronic pancreatitis cases for development of diabetes mellitus.