[Secondary diabetes].

Abstract

Secondary diabetes may occur in association with endocrine or nonendocrine disorders. The most common endocrine diseases associated with glucose intolerance are those involving the overproduction of counter regulatory hormones. Nonendocrine conditions associated with glucose intolerance or diabetes fall into three general categories: pancreatic diseases, drug-induced diabetes, and genetic syndromes. The therapy for secondary diabetes centers on the correction of an underlying disturbance. Patients with fasting hyperglycemia should be treated with an understanding of the pathophysiologic basis of their diabetes. in autoimmune diabetes (Type 1 diabetes and LADA Type diabetes), its etiopathogenesis is established and the primary disorder is pancreatic β-cell damage, and in Type 2 diabetes the primary cause is insulin resistance, in secondary diabetes, the etiopathogenesis of glucose homeostasis disorders is diverse and most often multifactorial.