Indian Journal of Endocrinology and Metabolism

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 22  |  Issue : 1  |  Page : 121--125

Exocrine dysfunction correlates with endocrinal impairment of pancreas in Type 2 diabetes mellitus


HR Prasanna Kumar1, H Basavana Gowdappa1, Tejashwi Hosmani1, Tejashri Urs2 
1 Department of Medicine, JSS Medical College, JSS University, Mysore, Karnataka, India
2 Department of Microbiology, JSS Medical College, JSS University, Mysore, Karnataka, India

Correspondence Address:
H R Prasanna Kumar
Department of Medicine, JSS Medical College, JSS University, Mysore - 570 001, Karnataka
India

Background: Diabetes mellitus (DM) is a chronic abnormal metabolic condition, which manifests elevated blood sugar level over a prolonged period. The pancreatic endocrine system generally gets affected during diabetes, but often abnormal exocrine functions are also manifested due to its proximity to the endocrine system. Fecal elastase-1 (FE-1) is found to be an ideal biomarker to reflect the exocrine insufficiency of the pancreas. Aim: The aim of this study was conducted to assess exocrine dysfunction of the pancreas in patients with type-2 DM (T2DM) by measuring FE levels and to associate the level of hyperglycemia with exocrine pancreatic dysfunction. Methodology: A prospective, cross-sectional comparative study was conducted on both T2DM patients and healthy nondiabetic volunteers. FE-1 levels were measured using a commercial kit (Human Pancreatic Elastase ELISA BS 86-01 from Bioserv Diagnostics). Data analysis was performed based on the important statistical parameters such as mean, standard deviation, standard error, t-test-independent samples, and Chi-square test/cross tabulation using SPSS for Windows version 20.0. Results: Statistically nonsignificant (P = 0.5051) relationship between FE-1 deficiency and age was obtained, which implied age as a noncontributing factor toward exocrine pancreatic insufficiency among diabetic patients. Statistically significant correlation (P = 0.003) between glycated hemoglobin and FE-1 levels was also noted. The association between retinopathy (P = 0.001) and peripheral pulses (P = 0.001) with FE-1 levels were found to be statistically significant. Conclusion: This study validates the benefit of FE-1 estimation, as a surrogate marker of exocrine pancreatic insufficiency, which remains unmanifest and subclinical.


How to cite this article:
Prasanna Kumar H R, Gowdappa H B, Hosmani T, Urs T. Exocrine dysfunction correlates with endocrinal impairment of pancreas in Type 2 diabetes mellitus.Indian J Endocr Metab 2018;22:121-125


How to cite this URL:
Prasanna Kumar H R, Gowdappa H B, Hosmani T, Urs T. Exocrine dysfunction correlates with endocrinal impairment of pancreas in Type 2 diabetes mellitus. Indian J Endocr Metab [serial online] 2018 [cited 2021 Sep 19 ];22:121-125
Available from: https://www.ijem.in/article.asp?issn=2230-8210;year=2018;volume=22;issue=1;spage=121;epage=125;aulast=Prasanna;type=0