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Managing diabetes if you have pancreatic cancer – information about type 3c diabetes

Pancreatic cancer and surgery to remove the cancer can cause diabetes. This is a type of diabetes called type 3c diabetes.

This information is for people with pancreatic cancer and type 3c diabetes. We explain the difference between type 1, type 2 and type 3c diabetes and why pancreatic cancer can cause type 3c diabetes.

Recently diagnosed diabetes can be a symptom of pancreatic cancer before someone is diagnosed. We have information about diabetes as a symptom of pancreatic cancer. And we have information on diabetes as a risk factor for pancreatic cancer.

Key facts

  • Diabetes is a condition where the amount of glucose (a type of sugar) in your blood is too high. The amount of glucose in your blood is called your blood sugar level or blood glucose level.
  • Your pancreas normally makes hormones called insulin and glucagon which keep your blood sugar at the right level.
  • Pancreatic cancer or surgery for the cancer can stop your pancreas making enough of these hormones. This can cause type 3c diabetes.
  • Type 3c diabetes is different to type 1 and type 2 diabetes. A lot of information about type 1 and type 2 diabetes may not be right for you.
  • There are ways to manage type 3c diabetes. Most people will need medicine to do this. This may be tablets or insulin injections.
  • It can be confusing managing diabetes when you have pancreatic cancer. Speak to your medical team if you have any questions or worries. Our specialist nurses on our Support Line can also help you understand how to manage your diabetes.

Why does pancreatic cancer cause diabetes?

Your pancreas normally makes hormones called insulin and glucagon which keep your blood sugar at the right level. Pancreatic cancer or surgery to remove the cancer can stop your pancreas making enough of these hormones.

This can cause type 3c diabetes. This means that your blood sugar level may become too high or too low.

Our specialist nurse, Jeni, explains what type 3c diabetes is and how it can be managed. Sharon also shares her personal experience of type 3c diabetes.

What are the symptoms of diabetes caused by pancreatic cancer?

The symptoms for type 3c diabetes are similar to other types of diabetes and can include:

  • feeling thirsty
  • weight loss
  • needing to pee more often
  • fatigue
  • feeling lightheaded
  • palpitations
  • sweating
  • confusion.
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“It is worthwhile looking out for symptoms of diabetes. It was only after I mentioned my partner’s unusual increased thirst and the need to go to the loo that he had a blood test which confirmed the diagnosis.” 

What are insulin and glucagon?

Insulin and glucagon are hormones made in the pancreas. Hormones are chemical messengers carried in the blood.

  • Insulin reduces the amount of glucose in your blood.
  • Glucagon helps to increase the amount of glucose in your blood when needed.

When you digest food and drink, carbohydrates found in starchy and sugary foods are broken down into glucose. The glucose passes into your blood causing a rise in your blood sugar level. In people who do not have diabetes, the pancreas would produce insulin to reduce the blood sugar level.

If you have type 3c diabetes, your pancreas may make less insulin and glucagon than your body needs. If your whole pancreas has been removed, your pancreas will not make any insulin or glucagon.

Who treats diabetes caused by pancreatic cancer?

Who you see to treat your diabetes may depend on services in your local area.

You may see a diabetes specialist nurse who will teach you how to monitor your blood sugar levels and help you to manage your diabetes medicine. You may also see a specialist dietitian, such as a diabetes, pancreatic or oncology dietitian, to help you manage your diabetes. Make sure you tell them that you have type 3c diabetes and pancreatic cancer. If you haven’t seen a specialist dietitian, ask your doctor or nurse to refer you to one. Your GP and hospital doctors may also help manage your diabetes.

Make sure you know who to contact about your diabetes. If you are not sure, ask your medical team.

Questions about type 3c diabetes?

It can be difficult and confusing to manage diabetes if you have pancreatic cancer. Your dietitian and diabetes nurse will help you manage your blood sugar levels and give you advice about how to live well with your diabetes. You can also speak to our specialist nurses on our free Support Line who can explain more about managing diabetes.

Questions to ask your doctor, nurse or dietitian


  • Why have I developed diabetes?
  • Will having surgery mean I develop diabetes?
  • Do I have type 3c diabetes?
  • How should I manage my diabetes?
  • Who can help me manage my diabetes?
  • Will I need to monitor my blood sugar levels? How should I do this?
  • Who should I contact if my blood sugar levels are not in the target range?
  • Will I need to take tablets or insulin?
  • How do I take insulin?
  • How should I manage my diet if I have diabetes and pancreatic cancer?

Read our fact sheet about diabetes

You can read more about diabetes, including how to manage it, in our fact sheet:

Diabetes if you have pancreatic cancer: Information about type 3c diabetes.

We also have a diary you can use to help you monitor your diabetes:

Diary for monitoring your diabetes

Download our diabetes fact sheet

Acknowledgements and references


We would like to thank the following people who reviewed this information.

  • Philip Johnston, Consultant in Endocrinology and Diabetes, Regional Centre for Endocrinology and Diabetes at Royal Victoria Hospital Belfast.
  • Makylah Lavender, Lead Diabetes Specialist Nurse, Cambridge University Hospitals NHS Foundation Trust.
  • David Bourne, Specialist Dietitian, Freeman Hospital.
  • Pancreatic Cancer UK Lay Information Reviewers.
  • Pancreatic Cancer UK Specialist Nurses.

References

We have listed some of the references to the sources used to write this information. If you would like the full list of references, email us at publications@pancreaticcancer.org.uk

Updated June 2026

Review date June 2029