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

Abstract

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.

• Authors: Nathalie Rouiller, François R Jornayvaz
• Journal: Revue medicale suisse (Rev Med Suisse) Vol. 13 Issue 565 Pg. 1158-1162 (May 31 2017) ISSN: 1660-9379 [Print] Switzerland
• Vernacular Title: Diabète sucré secondaire à une endocrinopathie : quand y penser ?
• PMID: 28639759 (Publication Type: Journal Article)

Chemical References

• Blood Glucose

Topics

• Blood Glucose
• Diabetes Mellitus (diagnosis, etiology)
• Diabetes Mellitus, Type 2 (diagnosis)
• Endocrine System Diseases (complications, physiopathology)
• Humans
• Hyperglycemia (etiology)
• Insulin Resistance