Hormonal Diabetes
Hormonal Diabetes, sometimes referred to as secondary diabetes due to hormonal disorders, occurs when an excess of certain hormones interferes with insulin action or production. Several endocrine conditions can lead to elevated blood sugar levels, resulting in a form of diabetes that is secondary to the primary hormonal disorder.
Conditions That Cause Hormonal Diabetes
- Cushing's Syndrome – Excess cortisol reduces insulin sensitivity
- Acromegaly – Excess growth hormone causes insulin resistance
- Phaeochromocytoma – Excess adrenaline raises blood glucose
- Hyperthyroidism – Thyroid hormone excess accelerates glucose absorption
- Glucagonoma – Tumour secreting excess glucagon elevates blood sugar
- Primary Hyperaldosteronism – Can impair insulin secretion
Symptoms
- High blood sugar levels
- Increased thirst and urination
- Fatigue
- Symptoms of the underlying hormonal disorder (e.g., weight gain, hypertension, mood changes)
Diagnosis
- Blood glucose and HbA1c testing
- Hormonal blood and urine tests to identify the causative condition
- Imaging studies (MRI, CT scan) when indicated
Treatment
Treating the Underlying Hormonal Disorder
Effective management of the primary hormonal condition (e.g., surgery, medication, or radiation therapy) often leads to significant improvement or resolution of diabetes.
Blood Sugar Management
Oral medications or insulin therapy as required to maintain healthy glucose levels during treatment.
Ongoing Monitoring
Regular follow-up to assess glucose levels and hormonal status as the underlying condition is treated.
Why Choose Dr. Harsh Parekh?
Dr. Harsh Parekh has specialised training in both endocrinology and diabetes, making him uniquely qualified to diagnose and manage hormonal diabetes. By identifying and treating the root hormonal cause, he aims to not only control blood sugar but also address the underlying condition comprehensively.