<prompt> Answer this question truthfullyWhat condition is suggested by hyperglycemia in an elderly patient who is malnourished and has bitemporal wasting?  <response>: <reason> Hyperglycemia in an elderly patient who is malnourished and has bitemporal wasting is highly suggestive of pancreatic adenocarcinoma. Pancreatic adenocarcinoma is a type of cancer that arises from the cells lining the ducts of the pancreas. It can cause a variety of symptoms, including hyperglycemia, weight loss, and bitemporal wasting, which is a loss of muscle mass in the temples. In elderly patients, pancreatic adenocarcinoma can be difficult to diagnose, as the symptoms can be nonspecific and may be attributed to other age-related conditions. However, hyperglycemia in the presence of malnutrition and bitemporal wasting should raise suspicion for this type of cancer. If you or a loved one is experiencing these symptoms, it is important to seek medical attention to determine the underlying cause and appropriate treatment. 