Disturbance of the regulation of glycaemia parameters in patients with comorbid chronic pancreatitis and chronic obstructive pulmonary disease

Abstract

Chronic pancreatitis (CP) of various etiology and chronic obstructive pulmonary disease (COPD) frequently associate with somatic pathology in the internal medicine clinic. Each nosology out of this pathological tandem can result in glucose metabolism disorders since both organs – the pancreas and lungs – take an active part in a direct supply of carbohydrate metabolism and its regulation. At the initial stages of chronic pancreatitis exacerbations, in addition to an enzymatic imbalance of the pancreas, hyperinsulinemia with clinical signs of hypoglycemic conditions is observed.