[Diabetes mellitus secondary to an endocrine pathology : when to think about it ?]

Autor: Rouiller N; Service d'endocrinologie, diabétologie et métabolisme, CHUV, 1011 Lausanne., Jornayvaz FR; Service d'endocrinologie, diabétologie, hypertension et nutrition, HUG, 1211 Genève 14.
Jazyk: francouzština
Zdroj: Revue medicale suisse [Rev Med Suisse] 2017 May 31; Vol. 13 (565), pp. 1158-1162.
Abstrakt: An endocrine disease can be associated with glucose intolerance or diabetes mellitus, and the latter can falsely be considered as type 2 diabetes. Glycemic imbalance can be a direct or indirect consequence of excessive hormone production. Endocrine diseases such as acromegaly, Cushing's syndrome and pheochromocytoma can increase glucose production and cause insulin resistance. Hyperthyroidism, hyperaldosteronism, glucagonoma and somatostatinoma lead to hyperglycemia by other physiopathological mechanisms detailed in this article. When a clinical picture suggests an endocrine disease, several analyses need to be done in order to avoid treatment escalation of diabetes.
Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.
Databáze: MEDLINE