GLYCOSURIA

The finding of glycosuria should prompt one to consider first the conditions that are associated with faulty regulation of the blood sugar and sugar metabolism. First and foremost on that list is diabetes mellitus. However, the differential must include many other endocrine disorders; focusing on the endocrine glands will prompt recall of most of these. Visualizing the pituitary will prompt recall of acromegaly, visualizing the adrenal gland will remind one of Cushing syndrome and pheochromocytoma, and visualizing the thyroid will prompt recall of hyperthyroidism. Finally, visualizing the pancreas will remind one of diabetes mellitus and glucagonoma.

GLYCOSURIA

The clinician should be careful not to forget renal glycosuria (idiopathic or Fanconi syndrome) and starvation in the differential.