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. 2015 Dec;73(12):2008-12.

[Secondary diabetes]

[Article in Japanese]
  • PMID: 26666145

[Secondary diabetes]

[Article in Japanese]
Takashi Nomiyama et al. Nihon Rinsho. 2015 Dec.

Abstract

Secondary diabetes is diabetes that results as a consequence of another medication, endocrine disease or hereditary disease. Secondary diabetes is very broad and diverted category among diabetes. Clinically, pancreatic diabetes is one of the most popular secondary diabetes, which provides insulin deficiency following pancreatic diseases, such as pancreatitis and pancreatic cancer. Among endocrine diseases, Cushing's syndrome and acromegaly are typical endocrine disorders causing secondary diabetes. They mainly induce insulin resistance in early stage, however, insulin deficiency is also observed in advanced stage. Steroid is the most popular drug-induced secondary diabetes. Importantly, not only oral administered steroid but also cutaneous and inhalation steroid could induce hyperglycemia. Major hereditary diabetes are MODY and mitochondrial diabetes. Concerning secondary diabetes, careful medical examination is required.

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