Naslov
From Metabolic Syndrome to Insulinoma : approach to a Patient with Metabolic Syndrome

Autori
Bačun, Tatjana ; Degmečić, Dunja ; Kibel, Aleksandar ; Kibel, Dijana ; Pavić, Roman

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
1. međunarodni kongres nutricionista Metabolički sindrom : zZbornik radova / Zlatić, Margita ; Babić, Dora - Osijek : Nutricionizam Balans, 2013, 51-52

Skup
Međunarodni kongres nutricionista Metabolički sindrom (1 ; 2013)

Mjesto i datum
Osijek, Hrvatska, 09.11.2013. - 10.11.2013

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
metabolic syndrome; obesity; insulinoma; hypoglicemia

Sažetak
Metabolic syndrome is most commonly caused by improper, irregular diet, and physical inactivity. However, sometimes the treatment approach to metabolic syndrome is not easy, and if a patient with a low calorie diet and physical activity does not lose weight, other underlying diseases need to be suspected. A sixty-seven year old patient with metabolic syndrome is presented (obesity, accumulation of fat in the abdomen, glucose intolerance, dyslipidemia, and hypertension), who’s attempts at reduction diets and physical activity caused a strong feeling of hunger, general weakness and nausea ; these symptoms were reduced after food intake. Having had a haematemesis (vomiting blood) the patient was admitted to the department of gastroenterology. Examination indicated hiatal hernia (a shift of the upper part of the stomach into the chest through the diaphragm) and chronic gastritis, and for established hypoglycemia with glucose 1.5 to 2.6 mmol/l. The patient was transferred to the department of endocrinology. Additional endocrinologic investigations found insulinoma, a pancreatic tumor sized 0.9 cm. The patient refused surgery and was treated with medication, receiving diazoxide tablets. After two years she had a proper body weight and had no signs of metabolic disorders, and computed tomography of the abdomen showed a significant decrease in pancreatic tumor size. Therefore, in patients with metabolic syndrome in which low calorie diet and physical activity does not reduce body weight, or if they have associated symptoms, endocrinological treatment should be conducted.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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