Risk factors for glucose intolerance in active acromegaly

In the present retrospective study we determined the frequency of glucose intolerance in active untreated acromegaly, and searched for risk factors possibly supporting the emergence of the diabetic condition. Among 43 patients, 8 (19%; 95% CI: 8-33%) had diabetes mellitus and 2 (5%; 1-16%) impaired...

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Main Authors: Kreze A., Kreze-Spirova E., Mikulecky M.
Format: Article
Language:English
Published: Associação Brasileira de Divulgação Científica 2001-01-01
Series:Brazilian Journal of Medical and Biological Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2001001100009
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author Kreze A.
Kreze-Spirova E.
Mikulecky M.
author_facet Kreze A.
Kreze-Spirova E.
Mikulecky M.
author_sort Kreze A.
collection DOAJ
description In the present retrospective study we determined the frequency of glucose intolerance in active untreated acromegaly, and searched for risk factors possibly supporting the emergence of the diabetic condition. Among 43 patients, 8 (19%; 95% CI: 8-33%) had diabetes mellitus and 2 (5%; 1-16%) impaired glucose tolerance. No impaired fasting glycemia was demonstrable. The frequency of diabetes was on average 4.5 times higher than in the general Slovak population. Ten factors suspected to support progression to glucose intolerance were studied by comparing the frequency of glucose intolerance between patients with present and absent risk factors. A family history of diabetes and arterial hypertension proved to have a significant promoting effect (P<0.05, chi-square test). A significant association with female gender was demonstrated only after pooling our data with literature data. Concomitant prolactin hypersecretion had a nonsignificant promoting effect. In conclusion, the association of active untreated acromegaly with each of the three categories of glucose intolerance (including impaired fasting glycemia, not yet studied in this connection) was defined as a confidence interval, thus permitting a sound comparison with the findings of future studies. Besides a family history of diabetes, female gender and arterial hypertension were defined as additional, not yet described risk factors.
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spelling doaj.art-1b8a9413407b4210a213a28aca2f6c792022-12-22T02:44:53ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research0100-879X0034-73102001-01-01341114291433Risk factors for glucose intolerance in active acromegalyKreze A.Kreze-Spirova E.Mikulecky M.In the present retrospective study we determined the frequency of glucose intolerance in active untreated acromegaly, and searched for risk factors possibly supporting the emergence of the diabetic condition. Among 43 patients, 8 (19%; 95% CI: 8-33%) had diabetes mellitus and 2 (5%; 1-16%) impaired glucose tolerance. No impaired fasting glycemia was demonstrable. The frequency of diabetes was on average 4.5 times higher than in the general Slovak population. Ten factors suspected to support progression to glucose intolerance were studied by comparing the frequency of glucose intolerance between patients with present and absent risk factors. A family history of diabetes and arterial hypertension proved to have a significant promoting effect (P<0.05, chi-square test). A significant association with female gender was demonstrated only after pooling our data with literature data. Concomitant prolactin hypersecretion had a nonsignificant promoting effect. In conclusion, the association of active untreated acromegaly with each of the three categories of glucose intolerance (including impaired fasting glycemia, not yet studied in this connection) was defined as a confidence interval, thus permitting a sound comparison with the findings of future studies. Besides a family history of diabetes, female gender and arterial hypertension were defined as additional, not yet described risk factors.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2001001100009acromegalydiabetes mellitusimpaired glucose toleranceimpaired fasting glycemiarisk factorsinferential statistics
spellingShingle Kreze A.
Kreze-Spirova E.
Mikulecky M.
Risk factors for glucose intolerance in active acromegaly
Brazilian Journal of Medical and Biological Research
acromegaly
diabetes mellitus
impaired glucose tolerance
impaired fasting glycemia
risk factors
inferential statistics
title Risk factors for glucose intolerance in active acromegaly
title_full Risk factors for glucose intolerance in active acromegaly
title_fullStr Risk factors for glucose intolerance in active acromegaly
title_full_unstemmed Risk factors for glucose intolerance in active acromegaly
title_short Risk factors for glucose intolerance in active acromegaly
title_sort risk factors for glucose intolerance in active acromegaly
topic acromegaly
diabetes mellitus
impaired glucose tolerance
impaired fasting glycemia
risk factors
inferential statistics
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2001001100009
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AT krezespirovae riskfactorsforglucoseintoleranceinactiveacromegaly
AT mikuleckym riskfactorsforglucoseintoleranceinactiveacromegaly