7 doctors weighed in:

Could pancreatic insufficiency be linked with trouble digesting sugars (bc of amylase), or only lipids?

7 doctors weighed in
David Miller
Family Medicine
5 doctors agree

In brief: Chronic pancreatitis

Chronic pancreatitis is hallmarked by problems absorbing fats (greasy, floating stools, sometimes gray or chalky).
Problems with sugar metabolism come later as more of the pancreas is damaged. Chronic pancreatitis is further characterized less by low amylase production and more with lack of Insulin production and associated problems with glucagon.

In brief: Chronic pancreatitis

Chronic pancreatitis is hallmarked by problems absorbing fats (greasy, floating stools, sometimes gray or chalky).
Problems with sugar metabolism come later as more of the pancreas is damaged. Chronic pancreatitis is further characterized less by low amylase production and more with lack of Insulin production and associated problems with glucagon.
David Miller
David Miller
Answer assisted by David Miller, Medical Student
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Dr. Charles Cattano
Internal Medicine - Gastroenterology
3 doctors agree

In brief: Low amylase balanced

Pancreatic enzyme insufficiency (reduced exocrine function) may result in maldigestion of fat, protein, & carbohydrates (but significant malabsorption does not occur unless pancreatic enzyme output is <10% of normal).
Reduced pancreatic amylase secretion is balanced by ongoing salivary gland amylase, & colon salvage of undigested carbohydrates (by their conversion to short-chain fatty acids).

In brief: Low amylase balanced

Pancreatic enzyme insufficiency (reduced exocrine function) may result in maldigestion of fat, protein, & carbohydrates (but significant malabsorption does not occur unless pancreatic enzyme output is <10% of normal).
Reduced pancreatic amylase secretion is balanced by ongoing salivary gland amylase, & colon salvage of undigested carbohydrates (by their conversion to short-chain fatty acids).
Dr. Charles Cattano
Dr. Charles Cattano
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