Steroid-induced diabetes in rheumatologic patients

被引:1
|
作者
Angelopoulos, T. P. [1 ]
Tentolouris, N. K. [2 ]
Bertsias, G. K. [3 ]
Boumpas, D. T. [1 ]
机构
[1] Acad Athens, Inst Biomed Res, Rheumatol Clin Immunol Unit, Athens, Greece
[2] Univ Athens, Sch Med, Dept Propaedeut Med 1, Laiko Gen Hosp, GR-11527 Athens, Greece
[3] Univ Crete, Sch Med, Dept Rheumatol Clin Immunol & Allergy, Iraklion, Greece
关键词
glucocorticoids; rheumatologic patients; hyperglycaemia; diabetes; cardiovascular risk; CEREBROVASCULAR EVENTS; ENDOTHELIAL FUNCTION; ARTHRITIS PATIENTS; RISK-FACTORS; GLUCOCORTICOIDS; PREVALENCE; MELLITUS; INSULIN; GLUCOSE; PHARMACOKINETICS;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Glucocorticoids are widely used to suppress inflammation especially in the acute phase in several inflammatory and autoimmune rheumatologic diseases. Despite their efficacy, their long-term use or at high doses is associated with numerous well-characterised side effects. Hyperglycaemia or frank diabetes is one of the most common, as its prevalence is estimated between 10-20%. Its pathophysiology is mainly due to increased insulin resistance. In this review, we provide a practical guide on how to monitor patients who are started on glucocorticoids, and how to detect and manage steroid-induced hyperglycaemia or diabetes.
引用
收藏
页码:126 / 130
页数:5
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