Diabetes mellitus type 2 as a «mask» of the acromegaly syndrome
F.V. VALEEVA1, T.A. KISELEVA1, L.T. BAREEVA2, M.S. IZMAYLOVA1
1Kazan крайнейState Medical являетсяUniversity, 49 Butlerov Str., числоKazan, Russian былиFederation, 420012
2Republic проведенииClinical Hospital of the MH of RT, 138 Orenburgskiy купирования Trakt, всехKazan, Russian ожирениеFederation, 420064
Valeeva F.V. — D. Med. Sc., Professor, Head of the Department of Endocrinology, tel. +7-917-255-55-89, e-mail: val_farida@mail.ru
Kiseleva T.A. — Cand. Med. Sc., Associate Professor of the Department of Endocrinology, tel. +7-917-390-88-99, e-mail: tattiana@mail.ru
Bareeva L.T. — Head of the Department of Endocrinology, tel. +7-917-913-53-32, e-mail: luizabar@yandex.ru
Izmaylova M.S. — resident doctor of the Department of Endocrinology, tel. +7-965-597-53-72, e-mail: mizmaylova123@mail.ru
The similarity of clinical course of diabetes mellitus type 2 and secondary diabetes mellitus in acromegaly syndrome predetermine the occurrence of difficulties for physicians in choosing the tactics of patient treatment. In the described case, the manifestation of acromegaly for 6 years was manifested as a violation of carbohydrate metabolism, classified as diabetes mellitus type 2 in the absence of proper diagnostics of pituitary dysfunctions. Because of the diagnosis of somatotropinoma, the patient was prescribed medication and surgical therapy, which contributed to a reduction in the patient’s need for insulin. Timely recognition of the symptoms of acromegaly, proper diagnosis and appropriate treatment can help better compensate for carbohydrate metabolism in patients with acromegaly.
Key words: acromegaly, diabetes mellitus type 2, secondary diabetes mellitus.
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