DIABETES MELLITUS – Secondary Diabetes
Diabetes that is secondary to an identifiable condition is comparatively rare. For example, destruction of the pancreas secondary to pancreatitis will impair insulin secretion and result in diabetes. In certain endocrine disorders such as Cushing’s syndrome, acromegaly, pheochromo-cytoma, and glucagonoma, the increased secretion of hormones that counteract the effect of insulin can also result in hyperglycemia. By a variety of mechanisms, a number of commonly used drugs such as diuretics, corticosteroids, propranolol, phenytoin, and adrenergic agents also cause or exacerbate diabetes.
Acanthosis nigricans may be associated with severe insulin resistance, resulting in diabetes by two distinct mechanisms: (1) Type A—the insulin resistance is due to a marked decrease in the number of cellular insulin receptors. These patients are usually young females with hirsutism and polycystic ovaries. (2) Type B—the insulin resistance is due to autoantibodies against the insulin receptor as part of a more generalized autoimmune process manifested by proteinuria, leukopenia, and antinuclear antibodies.
Tags: adrenergic agents, antinuclear antibodies, betes, cushing s syndrome, cytoma, distinct mechanisms, endocrine disorders, hirsutism, hyperglycemia, insulin receptor, insulin receptors, insulin resistance, insulin secretion, num ber, penia, phenytoin
- DIABETES MELLITUS - DIAGNOSIS
- Yeminli Dictionary "Millions of Pretranslated English Turkish Sentences"
- DIABETES MELLITUS - Secondary Diabetes
- CLASSIFICATION OF DIABETES
- PRIMARY HYPOGONADISM
- GYNECOMASTIA
- SECONDARY HYPOGONADISM
- IMPOTENCE
- CRYPTORCHIDISM
- DIABETES MELLITUS - Type II Non-Insulin-dependent Diabetes Mellitus (NIDDM)
- DIABETES MELLITUS