Diabetes and Glucose Metabolism in Thalassemia Major: An Update

被引:44
作者
De Sanctis, Vincenzo [1 ]
Soliman, Ashraf T. [2 ]
Elsedfy, Heba [3 ]
Pepe, Alessia [4 ,5 ]
Kattamis, Christos [6 ]
El Kholy, Mohamed [3 ]
Yassin, Mohamed [7 ]
机构
[1] Quisisana Hosp, Pediat & Adolescent Outpatient Clin, I-44100 Ferrara, Italy
[2] Univ Alexandria, Childrens Hosp, Dept Pediat, Div Endocrinol, Alexandria, Egypt
[3] Ain Shams Univ, Dept Pediat, Cairo, Egypt
[4] Fdn G Monasterio CNR Reg Toscana, Cardiovasc MR Unit, Pisa, Italy
[5] CNR, Inst Clin Physiol, Via Savi 8, I-56100 Pisa, Italy
[6] Univ Athens, Dept Pediat 1, Athens, Greece
[7] Hamad Med Corp, Dept Hematol & BMT, Natl Ctr Canc Care & Res, Doha, Qatar
关键词
Continuous glucose monitoring system; Glucose homeostasis; Thalassemia; Treatment; Magnetic resonance imaging; Iron overload; SICKLE-CELL-DISEASE; BETA-THALASSEMIA; IRON OVERLOAD; MAGNETIC-RESONANCE; ENDOCRINE COMPLICATIONS; INSULIN-SECRETION; PANCREATIC IRON; TOLERANCE; MELLITUS;
D O I
10.1586/17474086.2016.1136209
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In patients with TM, uncontrolled iron overload has serious clinical consequences with considerable morbidity and mortality. Complications include liver damage, cardiac disease and endocrine dysfunction. Diabetes is an important complication of TM. The mechanisms of abnormal glucose homeostasis are complex and multifactorial. This review updates the current knowledge about glycemic abnormalities in TM patients and directs the attention to an early diagnosis and proper management
引用
收藏
页码:401 / 408
页数:8
相关论文
共 53 条
[1]   The Continuous Glucose Monitoring System (CGMS) in Patients with Beta-Thalassemia Major [J].
Albaker, Waleed I. ;
Yousef, Abdullah A. ;
Khamis, Ammar H. ;
Aldilaijan, Abdulmohsin F. ;
AlMaghlouth, Nouf K. .
SAUDI JOURNAL OF MEDICINE & MEDICAL SCIENCES, 2013, 1 (02) :88-93
[2]   Cardiovascular T2-star (T2*) magnetic resonance for the early diagnosis of myocardial iron overload [J].
Anderson, LJ ;
Holden, S ;
Davis, B ;
Prescott, E ;
Charrier, CC ;
Bunce, NH ;
Firmin, DN ;
Wonke, B ;
Porter, J ;
Walker, JM ;
Pennell, DJ .
EUROPEAN HEART JOURNAL, 2001, 22 (23) :2171-2179
[3]   History of myocardial iron loading is a strong risk factor for diabetes mellitus and hypogonadism in adults with β thalassemia major [J].
Ang, Ai Leen ;
Tzoulis, Ploutarchos ;
Prescott, Emma ;
Davis, Bernard A. ;
Barnard, Maria ;
Shah, Farrukh T. .
EUROPEAN JOURNAL OF HAEMATOLOGY, 2014, 92 (03) :229-236
[4]   Reduced insulin secretion in normoglycaemic patients with β-thalassaemia major [J].
Angelopoulos, N. G. ;
Zervas, A. ;
Livadas, S. ;
Adamopoulos, I. ;
Giannopoulos, D. ;
Goula, A. ;
Tolis, G. .
DIABETIC MEDICINE, 2006, 23 (12) :1327-1331
[5]   Strategies for Improving Care [J].
不详 .
DIABETES CARE, 2015, 38 :S5-S7
[6]   A T2*magnetic resonance imaging study of pancreatic iron overload in thalassemia major [J].
Au, Wing-Yan ;
Lam, Wynnie Wai-Man ;
Chu, Winnie ;
Tam, Sidney ;
Wong, Wai-Keng ;
Liang, Raymond ;
Ha, Shau-Yin .
HAEMATOLOGICA, 2007, 93 (01) :116-119
[7]   Diabetes and thalassaemia [J].
Barnard, Maria ;
Tzoulis, Ploutarchos .
THALASSEMIA REPORTS, 2013, 3 :49-53
[8]   Biochemical markers of glucose metabolism may be used to estimate the degree and progression of iron overload in the liver and pancreas of patients with β-thalassemia major [J].
Bas, Munevver ;
Gumruk, Fatma ;
Gonc, Nazli ;
Cetin, Mualla ;
Tuncer, Murat ;
Hazirolan, Tuncay ;
Yildirim, Gokce ;
Karabulut, Erdem ;
Unal, Sule .
ANNALS OF HEMATOLOGY, 2015, 94 (07) :1099-1104
[9]   The pleiotropic effects of metformin: time for prospective studies [J].
Bromage, Daniel I. ;
Yellon, Derek M. .
CARDIOVASCULAR DIABETOLOGY, 2015, 14
[10]  
Cappellini M-D., 2014, Guidelines for the management of transfusion dependent thalassaemia (TDT)