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Looking for (recent?) article proposing that up to 25% of folks with Type 2 Diabetes


Fairley

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I know I read or heard recently that there was an article or abstract or opinion put out by two endocrinologists that up to 25% of folks with type 2 diabetes actually have some form (early, cyclical, subclinical?) form of Cushing's.

 

If anyone knows anything about this article (or has a clue what I'm talking about -- because I apparently don't!), could you post the info here?

 

I am beginning to do research for the documentary I'm working on....

 

Many thanks!

Kate

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Kate,

 

Here are a couple I found. I'm not sure if these are the ones you were looking for, but maybe they will help!

 

 

This is a case report of a patient with diabetes and Cushings: http://www.jstage.jst.go.jp/article/intern...45/21/1237/_pdf.

 

http://jcem.endojournals.org/cgi/reprint/88/12/5808.

 

http://eje-online.org/cgi/reprint/153/6/837. Association of subclinical hypercortisolism with type 2 diabetes mellitus: a case-control study in hospitalized patients .

 

Good luck!

Rissa

 

P.S. I found this article on post-op rates of remission. I haven't taken a really good look at it. It may not even relate to your case, but thought it may help. http://home.mdconsult.com/das/journal/view...MI&SEQNO=26. You can get a free 30 day trial of mdconsult online! If you can't get it, let me know and I will email it to you!

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I'm not sure where you are getting the 25%, Kate. I think it's 2-4%, which is still a very large number of people. One article can be found at http://www.endo-society.org/news/endocrine...ssynApr2005.cfm for free. The other I have will have to be emailed. I may have more and if so, I'll email them, too! (You, too, Patti!)

 

Hugs!!

 

Robin

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http://www.medicalnewstoday.com/medicalnews.php?newsid=4990

 

Another study linked above.

 

Robin

 

I wonder what that more sensitive test with "revised criterion" might have involved.

 

"The diagnostic strategy involved the 1-mg overnight dexamethasone suppression test (DST), using a revised criterion for cortisol suppression, which maximized sensitivity to the procedure. This more sensitive test identified patients who would not have tested positive for CS using standard tests."

 

Does that mean that those who have diabetes test differently?

4 out of 200 were diagnosed with the 1-mg overnight dexamethasone suppression test, but I wonder how many MORE might actually be Cushing's related since so many folks on this board have suppressed and STILL had Cushings.

 

This article having been written in 2003, I am surprised there have not been more followup studies to this.

I know, Robin, that if you find them... you will post them. every confidence!!

 

Hugs,

Patti

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