Pancreas transplantation and simultaneous transplantation of the pancreas and kidney are a well-known methods of treating patients with diabetes complications. This is regarded as a superior standard of management in patients with end-stage renal failure caused by diabetic nephropathy. The main limitation of this method is a disproportionately low number of organ donors comparing the number of patients awaiting treatment. As the society- burdened with an epidemic of obesity- ages and the number of optimal organs accessible for transplantation is gradually decreasing. It is necessary to liberalize donor eligibility criteria, which may have an adverse effect on the therapeutic outcomes. This paper attempts to analyze the available literature in order to determine strategies that are used during qualification of potential pancreas donors, criteria used by decision makers to accept a particular organ, and objective effects of donor-related criteria on therapeutic outcomes.
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