Epidemiological study of pancreatic diabetes in Japan in 2005: a nationwide study.
OBJECTIVE
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.


CONCLUSIONS
We clarified the epidemiology of pancreatic diabetes in Japan. Patients with chronic pancreatitis-associated pancreatic diabetes should receive lifestyle guidance focused on drinking cessation.
Ito
Tetsuhide
T
Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. itopapa@intmed3.med.kyushu-u.ac.jp
Otsuki
Makoto
M
Igarashi
Hisato
H
Kihara
Yasuyuki
Y
Kawabe
Ken
K
Nakamura
Taichi
T
Fujimori
Nao
N
Oono
Takamasa
T
Takayanagi
Ryoichi
R
Shimosegawa
Tooru
T
D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000453:epidemiology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000453:epidemiology*; D003928:Diabetic Nephropathies / Q000150:complications / Q000453:epidemiology*; D006801:Humans; D007003:Hypoglycemia / Q000150:complications / Q000401:mortality; D015994:Incidence; D007564:Japan / Q000453:epidemiology; D010182:Pancreatic Diseases / Q000150:complications / Q000453:epidemiology*; D019512:Pancreatitis, Alcoholic / Q000150:complications / Q000401:mortality; D015995:Prevalence; D016019:Survival Analysis; D015996:Survival Rate