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Secondary diabetes refers to glucose intolerance. “Glucose intolerance” is a term for health disorders that cause high blood sugar. In some instances, this condition can be caused by other medical problems. Secondary diabetes differs in some ways from other types of diabetes, but it still requires you to control your blood sugar and make lifestyle changes.
This article discusses the various causes of secondary diabetes and how they are managed.
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Secondary diabetes (type 3C) and type 2 diabetes may present with the same symptoms. However, the two are not the same. Type 2 diabetes is caused by a problem with how the body utilizes insulin, a hormone created by the pancreas. Insulin converts sugar to energy in the body.
Once cells become resistant to insulin, the pancreas cannot make enough insulin. These issues typically result from lifestyle factors such as obesity, a lack of exercise, or an unhealthy diet.
Secondary diabetes, on the other hand, doesn’t develop because of an issue with insulin but rather because of other disorders that affect the endocrine system. In addition, secondary diabetes can result from problems with medication use, hormonal disorders, and genetic syndromes.
The endocrine system is made up of glands that secrete specific hormones designed to encourage the proper functioning of the body. It regulates metabolism, sleep, blood pressure, growth and development, emotions and mood, and sexual function.
When those glands do not operate properly, health issues can arise. There are several glands involved in hormone production and release in the endocrine system, such as:
Since the pancreas is in charge of insulin production, disorders that affect how it works can cause issues with blood sugar and, thus, lead to secondary diabetes. The two most common pancreatic disorders associated with secondary diabetes are chronic pancreatitis, which is long-term inflammation of the pancreas, and pancreatic cancer.
Between 25% and 80% of people with chronic pancreatitis will develop secondary diabetes. The prevalence of secondary diabetes is lower in people with pancreatic cancer, at roughly 8%.
Hormonal disorders, or endocrine disorders, can arise when the glands that produce or release hormones are compromised. Several types of hormone disorders can lead to secondary diabetes, including:
In most cases, secondary diabetes is permanent. Even if a person seeks treatment for their hormonal imbalance disorder, the effects and damage caused by it that leads to secondary diabetes are often irreversible.
Otherwise known as drug-induced diabetes, secondary diabetes can occur after taking drugs from certain medication classes, including:
Usually, drug-induced secondary diabetes can be reversed in the short term if medication is stopped.
Some genetic syndromes may lead to secondary diabetes because they cause severe insulin resistance. Genetic syndromes are the result of mutations in specific genes. Genes are instruction manuals that provide the body with the information it needs to produce particular proteins.
The information encoded in genes determines characteristics, physical traits, and how each person's body functions. A person gets two copies of every gene, one from each of their parents.
Gene mutations change the information encoded in the DNA and, thus, can lead to changes in how the body functions. In some cases, it leads to illnesses.
Some genetic syndromes connected to secondary diabetes include:
The genes that play a role in the function of the pancreatic cells are associated with the onset of secondary diabetes, In these illnesses, they can lead to insulin resistance, insufficient production of insulin, or a defect in how insulin is converted from proinsulin, a building block for insulin.
Insulin resistance occurs when cells in the body cannot take up glucose, or sugar, from the blood as easily as they should. When the cells do not take up glucose, the pancreas makes more than the body truly needs in an attempt to provide those cells with the glucose they need to use as energy.
The treatments for secondary diabetes may vary depending on the cause. For drug-induced diabetes, stopping the drug may reverse if the medication is only used short-term.
In cases of permanent secondary diabetes, medications must be taken to help the body control glucose levels in the blood. One common drug used to treat diabetes is Glucophage (metformin). Metformin makes cells more sensitive to insulin, thus, allowing them to pick up the glucose in the blood more easily.
That said, insulin therapy is often the first treatment for people with secondary diabetes, especially those with endocrine disorders and cystic fibrosis.
Lifestyle changes may also need to be made to help address high blood sugar caused by secondary diabetes, including
The only way to know what treatment will work for you is by seeing your healthcare provider. They will determine the cause of your secondary diabetes and choose a treatment that is specific to your case.
A variety of health disorders cause secondary diabetes. Some of the most common causes of secondary diabetes are pancreatic disorders and other conditions that affect the endocrine system. In some cases, medications can induce diabetes. In others, genetic syndromes may play a role in developing secondary diabetes.
While the symptoms and effects of secondary diabetes are the same as other types of the disease, they are not the same because secondary diabetes is brought on by another disorder and doesn’t develop as a primary condition. Treatment for this condition varies depending on what caused it. In some cases, it can be permanent, and you must manage your symptoms and blood sugar levels for the rest of your life.
Having to cope with one chronic disorder and then having another one develop isn't easy. That said, when secondary diabetes is managed effectively, it can be a lot easier to live with.
If you have been recently diagnosed with secondary diabetes, talk to your healthcare provider about all your options and what you can do to manage it in the best way possible. Doing so will ensure that your quality of life isn't compromised further, and you can continue to enjoy your life as you have been.
Many conditions can lead to secondary diabetes. The most commonly associated conditions are those that affect how the endocrine system works. Others, such as genetic syndromes, can also lead to the development of secondary diabetes.
In many cases, secondary diabetes brought on by another health condition is permanent, so there is no cure. Drug-induced secondary diabetes is often reversible if the medication is taken only in the short term. Whether you can cure secondary diabetes depends highly on the cause and damage to your system.
Secondary diabetes and type 2 diabetes are not the same. While the two will present with the same symptoms and effects, they are not caused by the same thing. Health conditions or medications bring on secondary diabetes, whereas Type 2 diabetes is caused by lifestyle factors such as an unhealthy diet, lack of exercise, and obesity.
Centers for Disease Control and Prevention. Insulin resistance and diabetes.
Pareek, A.S., Garger, Y.B., Joshi, P.M., Romero, C.M., Seth, A.K. Secondary causes of diabetes mellitus. Principles of Diabetes Mellitus Springer Cham. March 2016:1-16 doi:10.1007/978-3-319-20797-1_16-1
Śliwińska-Mossoń M, Milnerowicz S, Milnerowicz H. Diabetes mellitus secondary to pancreatic diseases (type 3c): The effect of smoking on the exocrine-endocrine interactions of the pancreas. Diab Vasc Dis Res. 2018 May;15(3):243-259. doi:10.1177/1479164118764062
Chwalba A., Dudek A., Otto-Buczkowska E. Secondary diabetes. Austin Journal of Nutrition and Metabolism. May 16 2020;7(2):1-4.
Rouiller N, Jornayvaz FR. Diabète sucré secondaire à une endocrinopathie : quand y penser ? [Diabetes mellitus secondary to an endocrine pathology : when to think about it ?]. Rev Med Suisse. 2017 May 31;13(565):1158-1162.
Diabetes.co.uk. Secondary diabetes.
Diabetes.co.uk. Drug induced diabetes.
National Organization for Rare Disorders. Wolfram syndrome.
National Institue of Diabetes and Digestive Kidney Diseases. Insulin resistance and prediabetes.
Makuc J. Management of pancreatogenic diabetes: challenges and solutions. Diabetes Metab Syndr Obes. 2016 Aug 25;9:311-315. doi:10.2147/DMSO.S99701
Angelica Bottaro is a professional freelance writer with over 5 years of experience. She has been educated in both psychology and journalism, and her dual education has given her the research and writing skills needed to deliver sound and engaging content in the health space.
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