Abstract

Leg cramps is a very common complaint in primary care office. More than 50% of the patients are found to have diabetes who presented with

leg cramps and up to 80% of pancreatic cancer patients present with either new-onset type 2 diabetes or impaired glucose tolerance at the time of

diagnosis. Leg cramps should be worked up to look for new onset diabetes that could essentially lead to and unmask underlying monstrous pancreatic

cancer. The data linking high glucose levels with an elevated risk of pancreatic cancer have led some to suggest that the new onset of diabetes in a thin

older adult should prompt consideration of screening for early diagnosis of a potentially resectable pancreatic cancer. But so far no clear-cut guidelines

are there that suggest which parameters should be taken to consideration for CT screening for pancreatic cancer in a newly diagnosed diabetic patient.