PMID- 30648511 OWN - NLM STAT- MEDLINE DCOM- 20200207 LR - 20200207 IS - 1875-6417 (Electronic) IS - 1573-3998 (Linking) VI - 15 IP - 5 DP - 2019 TI - Type-3c Diabetes Mellitus, Diabetes of Exocrine Pancreas - An Update. PG - 382-394 LID - 10.2174/1573399815666190115145702 [doi] AB - BACKGROUND: The incidence of diabetes is increasing steeply; the number of diabetics has doubled over the past three decades. Surprisingly, the knowledge of type 3c diabetes mellitus (T3cDM) is still unclear to the researchers, scientist and medical practitioners, leading towards erroneous diagnosis, which is sometimes misdiagnosed as type 1 diabetes mellitus (T1DM), or more frequently type 2 diabetes mellitus (T2DM). This review is aimed to outline recent information on the etiology, pathophysiology, diagnostic procedures, and therapeutic management of T3cDM patients. METHODS: The literature related to T3cDM was thoroughly searched from the public domains and reviewed extensively to construct this article. Further, existing literature related to the other forms of diabetes is reviewed for projecting the differences among the different forms of diabetes. Detailed and updated information related to epidemiological evidence, risk factors, symptoms, diagnosis, pathogenesis and management is structured in this review. RESULTS: T3cDM is often misdiagnosed as T2DM due to the insufficient knowledge differentiating between T2DM and T3cDM. The pathogenesis of T3cDM is explained which is often linked to the history of chronic pancreatitis, pancreatic cancer. Inflammation, and fibrosis in pancreatic tissue lead to damage both endocrine and exocrine functions, thus leading to insulin/glucagon insufficiency and pancreatic enzyme deficiency. CONCLUSION: Future advancements should be accompanied by the establishment of a quick diagnostic tool through the understanding of potential biomarkers of the disease and newer treatments for better control of the diseased condition. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Bhattamisra, Subrat Kumar AU - Bhattamisra SK AD - Department of Life Sciences, School of Pharmacy, International Medical University, Bukit Jalil 57000, Kuala Lumpur, Malaysia. FAU - Siang, Tiew Chin AU - Siang TC AD - School of Pharmacy, International Medical University, Bukit Jalil 57000, Kuala Lumpur, Malaysia. FAU - Rong, Chieng Yi AU - Rong CY AD - School of Pharmacy, International Medical University, Bukit Jalil 57000, Kuala Lumpur, Malaysia. FAU - Annan, Naveenya Chetty AU - Annan NC AD - School of Pharmacy, International Medical University, Bukit Jalil 57000, Kuala Lumpur, Malaysia. FAU - Sean, Esther Ho Yung AU - Sean EHY AD - School of Pharmacy, International Medical University, Bukit Jalil 57000, Kuala Lumpur, Malaysia. FAU - Xi, Lim Wen AU - Xi LW AD - School of Pharmacy, International Medical University, Bukit Jalil 57000, Kuala Lumpur, Malaysia. FAU - Lyn, Ong Siu AU - Lyn OS AD - School of Pharmacy, International Medical University, Bukit Jalil 57000, Kuala Lumpur, Malaysia. FAU - Shan, Liew Hui AU - Shan LH AD - School of Pharmacy, International Medical University, Bukit Jalil 57000, Kuala Lumpur, Malaysia. FAU - Choudhury, Hira AU - Choudhury H AD - Department of Pharmaceutical Technology, School of Pharmacy, International Medical University, Bukit Jalil 57000, Kuala Lumpur, Malaysia. FAU - Pandey, Manisha AU - Pandey M AD - Department of Pharmaceutical Technology, School of Pharmacy, International Medical University, Bukit Jalil 57000, Kuala Lumpur, Malaysia. FAU - Gorain, Bapi AU - Gorain B AD - School of Pharmacy, Taylor's University, 1, Jalan Taylors, 47500 Subang Jaya, Selangor, Malaysia. LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Diabetes Rev JT - Current diabetes reviews JID - 101253260 RN - 0 (Insulin) SB - IM MH - *Diabetes Mellitus/diagnosis MH - *Diabetes Mellitus, Type 2/diagnosis/therapy MH - Humans MH - Insulin MH - Pancreas/physiopathology MH - *Pancreas, Exocrine/physiopathology MH - *Pancreatic Diseases/diagnosis/therapy MH - *Pancreatitis, Chronic/physiopathology OTO - NOTNLM OT - Type 3c diabetes mellitus OT - chronic pancreatitis OT - glucagon OT - insulin OT - pancreatic ductal adenocarcinoma OT - pancreatogenic diabetes. EDAT- 2019/01/17 06:00 MHDA- 2020/02/08 06:00 CRDT- 2019/01/17 06:00 PHST- 2018/06/07 00:00 [received] PHST- 2018/11/02 00:00 [revised] PHST- 2019/01/08 00:00 [accepted] PHST- 2019/01/17 06:00 [pubmed] PHST- 2020/02/08 06:00 [medline] PHST- 2019/01/17 06:00 [entrez] AID - CDR-EPUB-95804 [pii] AID - 10.2174/1573399815666190115145702 [doi] PST - ppublish SO - Curr Diabetes Rev. 2019;15(5):382-394. doi: 10.2174/1573399815666190115145702.