Diabetes and pancreatic cancer: Exploring the two-way traffic

World J Gastroenterol. 2021 Aug 14;27(30):4939-4962. doi: 10.3748/wjg.v27.i30.4939.

Abstract

Pancreatic cancer (PC) is often associated with a poor prognosis. Long-standing diabetes mellitus is considered as an important risk factor for its development. This risk can be modified by the use of certain antidiabetic medications. On the other hand, new-onset diabetes can signal towards an underlying PC in the elderly population. Recently, several attempts have been made to develop an effective clinical tool for PC screening using a combination of history of new-onset diabetes and several other clinical and biochemical markers. On the contrary, diabetes affects the survival after treatment for PC. We describe this intimate and complex two-way relationship of diabetes and PC in this review by exploring the underlying pathogenesis.

Keywords: Chronic pancreatitis; Diabetes; New onset diabetes; Pancreatic adenocarcinoma; Pancreatic cancer; Type 3c diabetes.

Publication types

  • Review

MeSH terms

  • Aged
  • Diabetes Mellitus* / diagnosis
  • Diabetes Mellitus* / epidemiology
  • Early Detection of Cancer
  • Humans
  • Hypoglycemic Agents / therapeutic use
  • Pancreatic Neoplasms* / epidemiology
  • Risk Factors

Substances

  • Hypoglycemic Agents