Steroid Induced Diabetes Mellitus: An Overview

Indah Sapta Wardani
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Abstract

Glucocorticoids are often used as immunosuppressant and anti-inflammatory therapy in various medical conditions. In addition to providing clinical benefits, glucocorticoids have various side effects, one of which is related to steroid-induced diabetes mellitus (SIDM). Steroid-induced diabetes mellitus can be a new onset or an exacerbation of hyperglycemia in patients who have previously been diagnosed with DM. Acute and chronic hyperglycemia due to steroids can have an impact on lengthening hospitalization, infectious complications, decreased response to therapy and increased mortality. The challenges of managing steroid-induced diabetes mellitus vary widely. Understanding of pathophysiology, risk factors, diagnosis and therapy can add insight regarding the comprehensive management of steroid-induced DM
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类固醇诱导糖尿病:综述
糖皮质激素常被用作免疫抑制剂和抗炎治疗在各种医疗条件。除了提供临床益处外,糖皮质激素还具有多种副作用,其中之一与类固醇性糖尿病(SIDM)有关。类固醇诱导的糖尿病可能是先前诊断为糖尿病的患者高血糖的新发或加重。类固醇引起的急性和慢性高血糖可能会延长住院时间、感染并发症、治疗反应降低和死亡率增加。管理类固醇引起的糖尿病的挑战各不相同。了解病理生理学、危险因素、诊断和治疗可以增加对类固醇诱导糖尿病的综合管理的见解
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