Table 1 Clinical and biochemical features of all patients with secondary adrenal insufficiency divided into normal glucose tolerance (NGT) and glucose metabolism disorders (diabetes mellitus, DM, and prediabetes, preDM).
From: Prediction of diabetes mellitus induced by steroid overtreatment in adrenal insufficiency
NGT No 60 | Pre DM/DM No 42 | p | |
---|---|---|---|
Subjects (%) | Subjects (%) | ||
Male | 23 (38.3%) | 12 (28.5%) | 0.243 |
Female | 37 (61.6%) | 30 (71.4%) | |
Family history of diabetes | 11 (18.3%) | 17 (40.4%) | 0.002 |
Hypertriglyceridemia | 18 (29%) | 10 (45.5%) | 0.128 |
Hypercholesterolemia | 5 (8.3%) | 9 (21.4%) | 0.059 |
Visceral obesity | 50 (83.3%) | 32 (76.1%) | 0.370 |
Arterial hypertension | 7 (11.6%) | 9 (21.4%) | 0.195 |
Hypothyroidism | 44 (73.3%) | 35 (83.3%) | 0.236 |
Hypogonadism | 39 (65%) | 25 (59.5%) | 0.573 |
GH deficiency | 25 (41.6%) | 18 (42.8%) | 0.904 |
Hydrocortisone replacement therapy | 32 (53.3%) | 18 (42.8%) | 0.298 |
Cortisone acetate replacement therapy | 28 (46.6%) | 24 (57.1%) | 0.347 |
High steroid replacement therapy | 25 (41.6%) | 24 (57.1%) | 0.156 |
NGT No 60 | Pre DM/DM No 42 | p | |
---|---|---|---|
Mean ± SD | Mean ± SD | ||
Age (years) | 48.7 ± 12.3 | 49.8 ± 12.7 | 0.666 |
Duration of replacement therapy (years) | 13.3 ± 9.88 | 18.1 ± 13.4 | 0.043 |
BMI (Kg/m2) | 24.9 ± 4.06 | 29.1 ± 5.48 | < 0.001 |
WC (cm) | 92.5 ± 12.2 | 101.5 ± 14.5 | < 0.001 |
Dose of cortisone acetate | 30.9 ± 9.82 | 37.6 ± 13.1 | 0.063 |
Dose of hydrocortisone | 17.3 ± 4.91 | 19.1 ± 6.24 | 0.248 |
Total cholesterol (mmol/l) | 4.93 ± 0.85 | 5.66 ± 1.15 | 0.012 |
HDL cholesterol (mmol/l) | 1.53 ± 0.49 | 1.49 ± 0.53 | 0.740 |
LDL cholesterol mmol/l) | 2.65 ± 0.88 | 3.24 ± 0.87 | 0.004 |
Triglycerides (mmol/l) | 1.37 ± 0.72 | 1.71 ± 0.64 | 0.031 |
Fasting glucose (mmol/l) | 4.46 ± 0.51 | 7.13 ± 4.65 | 0.002 |
Fasting insulin (UI/ml) | 7.54 ± 4.41 | 12.7 ± 9.23 | 0.035 |
GOT (U/L) | 19.9 ± 9.07 | 24.2 ± 12.2 | 0.178 |
GPT (U/L) | 17.5 ± 8.95 | 27.5 ± 19.2 | 0.018 |
Homa 2-IR | 1.46 ± 0.92 | 2.47 ± 1.76 | 0.039 |
AUC2h glucose | 12,804.1 ± 2717.5 | 17,758.2 ± 4666.9 | 0.001 |
AUC2h insulin | 6828.5 ± 5382.1 | 14,294.3 ± 7824.4 | 0.002 |
ISI Matsuda | 10.8 ± 9.55 | 2.57 ± 1.25 | 0.008 |
Oral Disposition Index (DIo)* | 6.39 ± 2.47 | 1.95 ± 1.47 | < 0.001 |
HbA1c (%) | 5.33 ± 0.43 | 6.99 ± 1.96 | < 0.001 |
VAI | 1.76 ± 1.36 | 2.54 ± 1.28 | 0.038 |