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Diabetes aktuell 2015; 13(5): 215-221
DOI: 10.1055/s-0035-1564564
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© Georg Thieme Verlag Stuttgart · New York

Diabetes mellitus bei endokrinen Erkrankungen – Krankheitsbilder im Kontext einer gestörten Glukosetoleranz

Diabetes mellitus with endocrine diseases – Clinical entities in the context of impaired glucose tolerance
Klaus-Dieter Palitzsch
1   Klinik für Endokrinologie, Diabetologie, Angiologie und Innere Medizin, Notfallzentrum am Klinikum Neuperlach, Städtisches Klinikum München GmbH, München
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Publication Date:
07 September 2015 (online)

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Der Diabetes mellitus stellt mit seinen verschiedenen Verlaufsformen ein komplexes Krankheitsbild dar. Das klinische Erscheinungsbild eines Diabetes kann bei klassischer Symptomatik eindeutig und richtungsweisend sein, in vielen Fällen, wie zum Beispiel beim Typ-2-Diabetes, bleibt es jedoch lange Zeit unerkannt. Erschwerend kommt hinzu, dass es zahlreiche endokrinologische Erkrankungen gibt, die mit einer gestörten Glukosetoleranz oder einem Diabetes mellitus Typ 2 bzw. einem Diabetes mellitus Typ 1 assoziiert sein können. Da diese Krankheiten hinsichtlich ihres klinischen Bildes, der Diagnostik und Therapie in vielen Fällen komplex sind, wird an das begleitende Vorhandensein eines Diabetes mellitus oft nicht gedacht. Im Folgenden sollen exemplarisch wesentliche endokrinologische Erkrankungen besprochen werden, die mit einer gestörten Glukosetoleranz / einem Diabetes mellitus einhergehen können.

With its differing courses of illness diabetes mellitus represents a complex clinical entity. The clinical appearance of a diabetes illness can, in the case of classical symptoms, can be unambiguous and directing, in many cases, such as, e. g., for type 2 diabetes, it may remain undetected for a longer time. Aggravating this situation, there are numerous endocrinological diseases that can be associated with an impaired glucose tolerance or a diabetes mellitus type 2 or, respectively, a diabetes mellitus type 1. Since in many cases these diseases are complex with regard to their clinical picture, diagnostics and therapy, the accompanying existence of a diabetes mellitus i soften not taken into consideration. In the present article we exemplarily describe the more important endocrinological diseases that can be accompanied by an impaired glucose tolerance / diabetes mellitus.

Key words

Impaired glucose tolerance - diabetes mellitus - hyperthyroidism - hypothyroidism - polyglandular autoimmune syndrome - Cushing's syndrome - acromegaly - polycystic ovary syndrome
 

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