[Glucocorticoid-induced diabetes and risk factors during high-dose therapy]

Ugeskr Laeger. 2018 Apr 30;180(18):V06170454.
[Article in Danish]

Abstract

This review describes the cumulative incidence (CI) and risk factors of glucocorticoid (GC)-induced diabetes in patients commencing high-dose GC therapy: ≥ 30 mg prednisolone/day. Finally, methods of screening are discussed. In 13 studies, the CI of GC-induced diabetes ranges 12-65%, but with the current diagnostic criteria the CI is assessed to be 30-50%. Risk factors may include high age and high levels of BMI and glycated haemoglobin, respectively, before GC therapy. It is important to acknowledge, that hyperglycaemia in GC therapy is more prevalent postprandially, and screening should be planned accordingly.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Body Mass Index
  • Diabetes Mellitus / chemically induced*
  • Diabetes Mellitus / diagnosis
  • Diabetes Mellitus / epidemiology
  • Glucocorticoids / administration & dosage
  • Glucocorticoids / adverse effects*
  • Glycated Hemoglobin / analysis
  • Humans
  • Incidence
  • Middle Aged
  • Prednisolone / administration & dosage
  • Prednisolone / adverse effects*
  • Risk Factors
  • Young Adult

Substances

  • Glucocorticoids
  • Glycated Hemoglobin A
  • Prednisolone