Endocrinology is a superspeciality in India. To be an Endocrinologist, you need 6 years of intensive training with MD and DM/DNB in diabetes and hormonal problems including 3 research papers.
Endocrinology deals with all gland and hormonal problems including diabetes. Diabetes is an endocrine problem due to the deficiency or resistance of hormone called insulin produced from the endocrine gland called pancreas. Disease of one endocrine gland can involve other endocrine glands. Similarly diabetes due to pancreas gland problem can be associated with other gland problems.
autoimmune dieases: Type 1 Diabetes is often associated with thyroid and adrenal gland problems
polyendocrinopathy: diabetes coexist with other endocrine gland conditions
Multiple endocrine neoplasia: secondary calcific pancreatic diabetes due to primary hyperparathyrodism is associaed with pituitary gland and parathyroid gland problems
Secondary diabetes due to excess hormone called cortisol from adrenal gland
secondary diabetes due to excess hormone called aldosterone from adrenal cortex
secondary diabetes due to excess hormone called thyroxine from thyroid gland
secondary diabetes due to excess hormone called adrenaline from adrenal medulla
secondary diabetes due to excess hormone called growth hormone from pituitary gland
secondary diabetes due to excess hormone called glucagon from pancreas
secondary diabetes due to excess hormone called somatostatin from pancreas
All these secondary diabetes are completely curable if acutal endocrine problem is identified and treated appropriately.
When a patient with diabetes experience hypoglycemia, apart from diabetic medications, we should also consider other endocrine conditions.
Addisons disease cause frequent hypoglycemia in diabetes
Growth hormone deficiency/hypopituitarism can rarely cause hypoglycemia in diabetes
Whena patient with diabetes does not respond to his medicines, he may be having secondary diabetes due to endocrinopathy like
Severe Insulin Resistance – Type A and Type B
somatostatinoma also cause secondary diabetes
There are quite a handful of endocrine conditions which should be considered while treating a diabetic patient. That’s why diabetes is an Endocrinopathy.
So, all these conditions must be thought of while treating a diabetic patient and not just targeting the sugar values.
Consult our qualified endocrinologist in Chennai with DM/DNB endocrinology or equivalent recognized by MCI and get well soon.
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