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