Chronic Calcified Pancreatitis with Type 3C DM: A Complex Case Report

- This case presentation highlights the complexities of managing chronic calcified pancreatitis with type 3C diabetes mellitus (T3cDM) accompanied by exocrine insufficiency and a pancreatic pseudocyst. T3cDM is a secondary form of diabetes resulting from various exocrine pancreatic conditions, with chronic pancreatitis being the most common underlying illness. The patient, a 38-year-old male with a history of chronic alcoholism and smoking, presented with abdominal pain, greasy oily stools, and facial swelling. Diagnosed with T3cDM and chronic calcified pancreatitis, imaging revealed multiple intra-pancreatic and intraductal calcifications. Treatment involved insulin therapy, metronidazole, ondansetron, antioxidant supplements, and a beta-blocker. Managing T3cDM is challenging due to its unique metabolic characteristics, including limited glycogen storage and altered hormone levels. This case underscores the importance of early diagnosis and tailored treatment approaches to optimize patient outcomes and prevent complications. Further research is needed to advance our understanding of T3cDM and develop targeted therapies for this specific form of diabetes