Impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism

The clinical picture of primary hyperparathyroidism (PHPT) which caused by parathyroid neoplasms often includes metabolic syndrome leading to the development of cardiovascular diseases. According to clinical studies, an increased incidence of diabetes mellitus, insulin resistance, obesity, dyslipide...

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Main Authors: Ekaterina E. Bibik, [Anna K. Eremkina, Julia A. Krupinova, Natalia V. Klementieva, Ekaterina A. Dobreva, Natalia G. Mokrysheva
Format: Article
Language:English
Published: Endocrinology Research Centre 2021-01-01
Series:Сахарный диабет
Subjects:
Online Access:https://www.dia-endojournals.ru/jour/article/view/12436
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author Ekaterina E. Bibik
[Anna K. Eremkina
Julia A. Krupinova
Natalia V. Klementieva
Ekaterina A. Dobreva
Natalia G. Mokrysheva
author_facet Ekaterina E. Bibik
[Anna K. Eremkina
Julia A. Krupinova
Natalia V. Klementieva
Ekaterina A. Dobreva
Natalia G. Mokrysheva
author_sort Ekaterina E. Bibik
collection DOAJ
description The clinical picture of primary hyperparathyroidism (PHPT) which caused by parathyroid neoplasms often includes metabolic syndrome leading to the development of cardiovascular diseases. According to clinical studies, an increased incidence of diabetes mellitus, insulin resistance, obesity, dyslipidemia, hyperuricemia and other disorders that signifi tly affect the life span and quality are observed in patients with PHPT regardless of the form and the severity of the underlying disease. Basic research shows the potential nonclassical effects of high levels of parathyroid hormone and calcium on adipose tissue, pancreas, gastrointestinal tract and kidneys. However, the pathogenetic mechanisms of impaired carbohydrate and other types of metabolism in patients with parathyroid hyperfunction remain unclear because of the lack of relevant experimental models and the heterogeneity of patient groups. Besides, the effect of surgery on metabolic abnormalities is also controversial. Nowadays a deeper understanding of this issue is required, which can subsequently help in the creation of optimal approach to diagnosis and treatment of patients. This review covers different aspects of metabolic disorders in patients with PHPT, as well as potential key factors of their development.
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spelling doaj.art-648637706a8547879ee395ca19a207d62025-02-21T09:29:37ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782021-01-0123545946610.14341/DM1243610848Impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidismEkaterina E. Bibik0[Anna K. Eremkina1Julia A. Krupinova2Natalia V. Klementieva3Ekaterina A. Dobreva4Natalia G. Mokrysheva5Endocrinology Research CentreEndocrinology Research CentreEndocrinology Research CentreEndocrinology Research CentreEndocrinology Research CentreEndocrinology Research CentreThe clinical picture of primary hyperparathyroidism (PHPT) which caused by parathyroid neoplasms often includes metabolic syndrome leading to the development of cardiovascular diseases. According to clinical studies, an increased incidence of diabetes mellitus, insulin resistance, obesity, dyslipidemia, hyperuricemia and other disorders that signifi tly affect the life span and quality are observed in patients with PHPT regardless of the form and the severity of the underlying disease. Basic research shows the potential nonclassical effects of high levels of parathyroid hormone and calcium on adipose tissue, pancreas, gastrointestinal tract and kidneys. However, the pathogenetic mechanisms of impaired carbohydrate and other types of metabolism in patients with parathyroid hyperfunction remain unclear because of the lack of relevant experimental models and the heterogeneity of patient groups. Besides, the effect of surgery on metabolic abnormalities is also controversial. Nowadays a deeper understanding of this issue is required, which can subsequently help in the creation of optimal approach to diagnosis and treatment of patients. This review covers different aspects of metabolic disorders in patients with PHPT, as well as potential key factors of their development.https://www.dia-endojournals.ru/jour/article/view/12436primary hyperparathyroidism, parathyroid hormone, hypercalcemia, diabetes mellitus, insulin resistance, obesity, dyslipidemia, hyperuricemia
spellingShingle Ekaterina E. Bibik
[Anna K. Eremkina
Julia A. Krupinova
Natalia V. Klementieva
Ekaterina A. Dobreva
Natalia G. Mokrysheva
Impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism
Сахарный диабет
primary hyperparathyroidism, parathyroid hormone, hypercalcemia, diabetes mellitus, insulin resistance, obesity, dyslipidemia, hyperuricemia
title Impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism
title_full Impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism
title_fullStr Impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism
title_full_unstemmed Impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism
title_short Impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism
title_sort impaired glucose metabolism and other metabolic disorders in patients with primary hyperparathyroidism
topic primary hyperparathyroidism, parathyroid hormone, hypercalcemia, diabetes mellitus, insulin resistance, obesity, dyslipidemia, hyperuricemia
url https://www.dia-endojournals.ru/jour/article/view/12436
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AT juliaakrupinova impairedglucosemetabolismandothermetabolicdisordersinpatientswithprimaryhyperparathyroidism
AT nataliavklementieva impairedglucosemetabolismandothermetabolicdisordersinpatientswithprimaryhyperparathyroidism
AT ekaterinaadobreva impairedglucosemetabolismandothermetabolicdisordersinpatientswithprimaryhyperparathyroidism
AT nataliagmokrysheva impairedglucosemetabolismandothermetabolicdisordersinpatientswithprimaryhyperparathyroidism