Interview: Dr Patrick Holmes on identifying type 3c diabetes in primary care

‘Up to 20% of people with type 2 diabetes may actually have type 3c diabetes,’ GP Dr Patrick Holmes tells Dawn Liz Powell in this episode of the Clinical Update podcast.

Type 3c diabetes, also known as pancreatic diabetes, occurs as a result of damage to the pancreas. Risk factors include chronic pancreatitis, excessive alcohol use, prior pancreatic surgery, and conditions such as cystic fibrosis.

Dr Holmes says that distinguishing between type 3c diabetes and type 2 diabetes can be difficult, but features that may be suggestive of type 3c diabetes include lack of response to traditional oral therapies, rapid progression to insulin, or weight loss.

A key concern, though, in a person presenting with signs and symptoms of pancreatic disease is pancreatic cancer. 

You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.

Educational objectives

After listening to this podcast, GPs and other healthcare professionals should be more aware of:

• The risk factors for type 3c diabetes
• Features suggestive of type 3c diabetes
• How to diagnose and manage type 3c diabetes
• The link between type 3c diabetes and pancreatic cancer

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

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