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This issue includes Reviews on the glucoregulatory mechanisms of metformin, circadian clocks and thyroid function and the mechanisms and management of Turner syndrome, as well as a Perspectives on the care of people with differences of sex development.
Image: Pancreatic islet image supplied by Shih-Jung Peng and Shiue-Cheng Tang at Department of Medical Science, National Tsing Hua University, Taiwan. Cover design: Jennie Vallis.
Emerging evidence demonstrates that an increasing number of novel medications have considerable potential to induce adrenal insufficiency. This condition might lead to acute adrenocortical insufficiency, which is potentially fatal; however, the condition could be avoided if clinicians are more aware of the new findings and their implications.
Psychological problems such as depression and anxiety can hamper self-management in patients with type 2 diabetes mellitus (T2DM). A new prospective study reported that adults with T2DM and diagnosed anxiety disorder had a higher number of emergency visits and a higher cost status, but not total hospitalization costs, than those without diagnosed anxiety disorder.
Metformin is the first-line drug for treatment of type 2 diabetes mellitus (T2DM) and is effective in decreasing plasma glucose levels. This review summarizes the glucoregulatory mechanisms of metformin in T2DM and highlights emerging evidence that metformin decreases obesity-induced meta-inflammation and acts in the gastrointestinal tract.
Daily TSH secretion profiles are disrupted in some patients with hypothyroidism and hyperthyroidism. Here, the authors discuss the interconnection between circadian clocks and thyroid function and highlight the possible link between thyroid cancer and disrupted circadian machinery
Turner syndrome is a rare disorder of women associated with complete or partial loss of one X chromosome. This Review presents an updated discussion of the pathogenetic mechanisms and management of Turner syndrome.
The COST programme funded two European Actions for the systematic elucidation of differences of sex development and congenital hypogonadotropic hypogonadism. In this Perspective article, the authors describe the achievements of these two related COST Actions and highlight the gaps in research.