title: [Nutritional status assessment in diabetes mellitus secondary to chronic alcoholic pancreatitis].
abstract: BACKGROUND
  Diabetes mellitus secondary to alcoholic chronic pancreatitis (DM-ACP) represents 0.5-2% of all cases of diabetes mellitus (DM) and shows predominantly symptoms related to malnutrition instead of cardinal clinical signs of diabetes. The aim of this study was to try to further characterize the features of the malnutrition in patients with pancreatic insufficiency. PATIENTS MATERIAL AND METHODS: We selected 40 patients (39 males and 1 female) meeting clinical, functional and morphological diagnostic criteria of DM-ACP which received a nutritional assessment that included estimation on fat and proteic body compartments being classified as caloric, proteic or mixed malnutrition.
  
  
  RESULTS
  29 patients (72.5%) showed some kind of malnutrition. The most frequent type was mixed (proteic-caloric) malnutrition found in 19 of them (47.5%). Caloric malnutrition was present in 6 (15%) and mainly proteic in 4 (10%). Only 11 patients with DM-ACP in our series showed a normal nourishment state.
  
  
  CONCLUSIONS
  Large prevalence of mixed malnutrition in DM-ACP patients may be related to malabsorption of macronutrients (especially proteins and fat) due to exocrine insufficiency and misuse of nutrients as a result of the characteristic hypoinsulinemia showed by these patients.
authors.affiliation: Sección de Endocrinología, Hospital Dr. Peset Valencia.
authors.forename: C
authors.initials: C
authors.lastname: Morillas Ariño
authors.forename: A
authors.initials: A
authors.lastname: Hernández Mijares
authors.forename: M J
authors.initials: MJ
authors.lastname: Morillas Ariño
authors.forename: L
authors.initials: L
authors.lastname: Aparisi Quereda
authors.forename: I
authors.initials: I
authors.lastname: Lluch Verdú
authors.forename: J F
authors.initials: JF
authors.lastname: Ascaso Gimilio
authors.forename: R
authors.initials: R
authors.lastname: Carmena Rodríguez
mesh_terms: D000328:Adult; D000368:Aged; D003920:Diabetes Mellitus / Q000175:diagnosis* / Q000209:etiology / Q000276:immunology; D005260:Female; D006801:Humans; D007107:Immune System / Q000276:immunology; D008297:Male; D008875:Middle Aged; D015596:Nutrition Assessment; D009748:Nutrition Disorders / Q000150:complications / Q000175:diagnosis / Q000276:immunology; D009752:Nutritional Status; D019512:Pancreatitis, Alcoholic / Q000150:complications / Q000175:diagnosis* / Q000276:immunology; D011446:Prospective Studies
vernacular_title: Valoración del estado nutricional en la diabetes mellitus secundaria a pancreatitis crónica alcohólica.