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Diabetic ketoacidosis in acromegaly; a rare complication precipitated by corticosteroid use.

Author(s)
Weiss, Jeremy
Wood, Anna J
Zajac, Jeffrey D
Grossmann, Mathis
Andrikopoulos, Sofianos
Ekinci, Elif I
Publication Date
2017
Abstract
Diabetic ketoacidosis has been described in the literature as a rare possible initial presentation of acromegaly before a diagnosis of acromegaly is eventually made. Indeed, diabetic ketoacidosis is a recognised complication of acromegaly. There are a number of factors that can predispose patients with acromegaly to diabetes as well as to diabetic ketoacidosis. These include high levels of growth hormone and insulin-like growth factor 1 in acromegaly and the effect on glycaemia by medications used in the management of acromegaly. Ketoacidosis has been described in patients with acromegaly even without the presence of an underlying autoimmune diabetes. Patients with acromegaly and ketoacidosis often respond to treatment and may not require long-term insulin.
Citation
Diabetes Research and Clinical Practice 2017; 134: 29-37
Jornal Title
Diabetes Research and Clinical Practice
OrcId
0000-0001-8261-3457
0000-0003-2372-395X
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Link
Subject
Acromegaly
Corticosteroids
Diabetes
Ketoacidosis
Somatostatin analogues
Title
Diabetic ketoacidosis in acromegaly; a rare complication precipitated by corticosteroid use.
Type of document
Journal Article

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