ArticleSaudi medical journal2026
Tumor Markers and Pancreatic Enzymes Reflect Early Pancreatic Dysfunction in Type 2 Diabetes.
Article in Saudi medical journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Objective: To evaluate whether pancreatic enzymes and tumor markers reflect early pancreatic dysfunction in patients with type 2 diabetes mellitus (T2DM). Methods: In this cross-sectional study conducted between January 2023 and January 2024, 300 Saudi adults with T2DM were assessed for serum CA19-9, CA125, amylase, and lipase. Associations with glycemic control, insulin resistance (homeostatic model assessment for insulin resistance [HOMA-IR]), and metabolic parameters were examined using multivariable linear and logistic regression adjusted for age, sex, body mass index, diabetes duration, lipid profile, and medication use. Receiver-operating characteristic analyses evaluated biomarker performance for identifying poor glycemic control (HbA1c >8.5%). Exploratory analyses assessed associations with recent acute pancreatitis. Results: Patients with poor glycemic control had significantly higher CA19-9 and CA125 levels and lower amylase and lipase levels (all Conclusion: In T2DM, elevated tumor markers and reduced pancreatic enzyme activity are associated with poor glycemic control and insulin resistance and may indicate early pancreatic dysfunction. These biomarkers may aid risk stratification and warrant evaluation in prospective studies.
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