this condition usually seen in chronic alcoholics,odese person even if he is nonalcohic too,people who eat high carb diet,smoking
.heridatory also one cause.this is really worst condition bcoz one may need life long insulin
suppliment for blood sugar control.&exocrine pancrea secrets amylase
,lipase&other hormones into lumen for digestion of fat&protein.abscence of enzymes makes food undergo improper digestion,absorption,finally malnutrition
occers.so one may need to take supplimentary enzymes daily after meals,which sometime difficult becoz FINANCIALLY IT MAKE YOU HEAVY BURDEN.PATIENTS SHOULD ALWAYS LOOK FOR WEIGHT,ANY NUTRITION DEF VL RESULT IN RECURRENT INFECTION TOO.SO HAVE FAITH IN YOURSELF THAT,THIS condition can be managed vn taken strict determination in sugar as well as digestion.hope so newer therapy like organ tranplantion also good.consult gastroentrologist at earlist for more.ok,god bless you.