Exocrine Pancreatic Insufficiency Manifesting Before Insulin Dependence in Adult-Onset Type 1 Diabetes.

Exocrine pancreatic insufficiency may precede insulin dependence in adult-onset type 1 diabetes. Unexplained steatorrhea or weight loss in people with diabetes warrants further investigations including imaging of abdomen/pancreas, exocrine pancreatic function and diabetes antibody testing. Early recognition and multidisciplinary care lead to improvements in symptoms and glycemic control.