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  • Diabetes mellitus type 2 as a «mask» of the acromegaly syndrome

    Редактор | 2017, Practical medicine 08 (17) Innovative technologies in medicine | 24 сентября, 2017

    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.

    REFERENCES

    1. Dreval’ A.V. et al. The prevalence of diabetes mellitus among patients with acromegaly. Problemy endokrinologii, 2012, vol. 3, pp. 9-11 (in Russ.).
    2. Petrik G.G., Pavlishchuk S.A. Influence of chronic hyperglycemia on the parameters of protein, lipid metabolism and platelet-coagulation hemostasis in acromegaly. Ozhirenie i metabolizm, 2011, vol. 4, pp. 23-27 (in Russ.).
    3. Dreval’ A.V., Trigolosova I.V., Vinogradova A.V. Mechanisms of disorders of carbohydrate metabolism in acromegaly depending on treatment. Problemy endokrinologii, 2015, vol. 61, no. 1, pp. 23-30 (in Russ.).
    4. Trigolosova I.V., Kruglyakova M.V. Diabetes mellitus with neuroendocrine diseases. Al’manakh klinicheskoy meditsiny, 2014, vol. 32, pp. 89-96 (in Russ.).

    Метки: 2017, acromegaly, diabetes mellitus type 2, F.V. VALEEVA, L.T. BAREEVA, M.S. IZMAYLOVA, Practical medicine 08 (17) Innovative technologies in medicine, secondary diabetes mellitus, T.A. KISELEVA

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