Glucocorticoid-induced diabetes and adrenal suppression: How to detect and manage them

被引：66

作者：

Lansang, M. Cecilia ^{[1
]}

Hustak, Leighanne Kramer ^{[2
]}

机构：

[1] Cleveland Clin, Dept Diabet Endocrinol & Metab, Cleveland, OH 44195 USA

[2] Cleveland Clin, Dept Internal Med, Independence Family Hlth Ctr, Cleveland, OH 44195 USA

来源：

CLEVELAND CLINIC JOURNAL OF MEDICINE | 2011年 / 78卷 / 11期

关键词：

INDUCED INSULIN-RESISTANCE; BLOOD-GLUCOSE CONCENTRATION; EXOGENOUS CUSHINGS-SYNDROME; DAILY CORTISOL PRODUCTION; DOSE DEXAMETHASONE; AXIS SUPPRESSION; IN-VIVO; RISK; CORTICOSTEROIDS; HYPERGLYCEMIA;

D O I：

10.3949/ccjm.78a.10180

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Glucocorticoids, commonly used to treat multiple inflammatory processes, can cause hyperglycemia, Cushing syndrome, adrenal suppression, and, when they are discontinued, adrenal insufficiency. Physicians must be aware of these adverse effects and be equipped to manage them.

引用

页码：748 / 756

页数：9

共 46 条

[1]

Amer Diabet Assoc, 2011, DIABETES CARE, V34, pS11, DOI [10.2337/dc10-S062, 10.2337/dc14-S081, 10.2337/dc11-S011, 10.2337/dc13-S011, 10.2337/dc13-S067, 10.2337/dc12-s064, 10.2337/dc11-S062, 10.2337/dc10-S011, 10.2337/dc12-s011]

[2] Pituitary-adrenal axis suppression due to topical steroid administration in an infant [J].

Atabek, Mehmet Emre ;

Pirgon, Ozgur ;

Unal, Ekrem .

PEDIATRICS INTERNATIONAL, 2007, 49 (02) :242-244

[3] GLUCOCORTICOID THERAPY [J].

AXELROD, L .

MEDICINE, 1976, 55 (01) :39-65

[4]

Axelrod L, 2000, PRINCIPLES PRACTICE, P752

[5] Glucocorticoid-induced ketoacidosis in gestational diabetes: Sequela of the acute treatment of preterm labor - A case report [J].

Bedalov, A ;

Balasubramanyam, A .

DIABETES CARE, 1997, 20 (06) :922-924

[6]

Bevier Wendy C, 2008, J Diabetes Sci Technol, V2, P578

[7] Intranasal betamethasone induced acne and adrenal suppression [J].

Bong, JL ;

Connell, JMC ;

Lever, R .

BRITISH JOURNAL OF DERMATOLOGY, 2000, 142 (03) :579-580

[8] Continuous Monitoring of Circadian Glycemic Patterns in Patients Receiving Prednisolone for COPD [J].

Burt, Morton G. ;

Roberts, Gregory W. ;

Aguilar-Loza, Norma R. ;

Frith, Peter ;

Stranks, Stephen N. .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2011, 96 (06) :1789-1796

[9] Glucocorticoid-induced Diabetic Ketoacidosis in Acute Rheumatic Fever [J].

Cagdas, Deniz N. ;

Pac, F. Aysenur ;

Cakal, Erman .

JOURNAL OF CARDIOVASCULAR PHARMACOLOGY AND THERAPEUTICS, 2008, 13 (04) :298-300

[10] Sir, Exogenous Cushing's syndrome and topical ocular steroids [J].

Chiang, MY-M ;

Sarkar, M. ;

Koppens, J. M. ;

Milles, J. ;

Shah, P. .

EYE, 2006, 20 (06) :725-727

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