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Glucose metabolism before and after treatment in patients with acromegaly.

Authors
  • Ernaga Lorea, Ander1
  • Eguílaz Esparza, Nerea2
  • Ollero García-Agulló, María Dolores2
  • García Mouriz, Marta2
  • Iriarte Beroiz, Ana2
  • Rodríguez Erdozain, Rosa2
  • 1 Servicio de Endocrinología y Nutrición, Complejo Hospitalario de Navarra, Pamplona, Navarra, España. Electronic address: [email protected]
  • 2 Servicio de Endocrinología y Nutrición, Complejo Hospitalario de Navarra, Pamplona, Navarra, España.
Type
Published Article
Journal
Endocrinologia, diabetes y nutricion
Publication Date
Jan 01, 2017
Volume
64
Issue
7
Pages
363–368
Identifiers
DOI: 10.1016/j.endinu.2017.05.010
PMID: 28745607
Source
Medline
Keywords
Language
Spanish
License
Unknown

Abstract

The aim of this study was to ascertain the prevalence of carbohydrate changes in patients diagnosed with acromegaly, and to evaluate what happens two years after treatment. It was also intended to assess which factors are associated to the occurrence of such changes. Sixty-six patients diagnosed with acromegaly at our center were enrolled and divided into groups with normal glucose metabolism, prediabetes, and diabetes. After 2 years of treatment of acromegaly, prevalence carbohydrate changes was assessed again depending on the patient condition (cured, controlled with medical treatment, or uncontrolled). At the time of diagnosis of acromegaly, 27.3% of the patients had diabetes (n=18), 39.4% had prediabetes (n=26), and 33.3% had no changes (n=22). Significant differences were found in IGF-1 and z-score of IGF-1 (median of 18.1 in diabetics and 10.6 in non-diabetics, P=.005). Two years after treatment, there was a significant decrease in the prevalence of diabetes and prediabetes in cured patients (from 29.2% to 8.3% and from 45.8% to 16.7%, respectively, P=.003), but not in patients controlled with medical treatment or not controlled. At our center, 66.6% of patients with acromegaly had changes in carbohydrate metabolism at diagnosis, with a prevalence of diabetes of 27.3%. Two years after treatment of acromegaly, prevalence of diabetes and prediabetes decreased in cured patients. Copyright © 2017 SEEN. Publicado por Elsevier España, S.L.U. All rights reserved.

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