Adrenal disease

Long-term metabolic consequences: persistence of visceral obesity and diabetes mellitus after remission from Cushing’s syndrome

Diabetes Res Clin PractPublished Retrospective cohort study

Authors' conclusion

Patients with prior CS remain burdened by adverse metabolic profiles that may contribute to their increased long-term cardiovascular risk.

Study context

Population
Patients with cushing's syndrome (CS) from a single tertiary care center, evaluated during active disease and 7 years after biochemical remissionmatched 1:4
Participants
99 vs 396
Exposure
Patients with prior CS vs matched population-based controls
  • CSn = 99
  • Controlsn = 396reference
Outcome
Prevalence of T2D, fat distribution and other metabolic characteristics
Follow-up
7 years after remission
Methodological detailssingle tertiary care center, longitudinal, matched controls (age and sex, 1:4)
  • Single tertiary care center
  • Longitudinal
  • Matched controls (age and sex, 1:4)

Main finding

As reported in the abstract

Diabetes prevalence

P < 0.0001

Observational data: associations, not effects.

Further findings

Relative fat mass · 7 years after remission

P = 0.0013

HbA1c · 7 years after remission

P = 0.0087

OutcomeCSControlsP value
WHR · 7 years after remission0.890.82P < 0.0001

Association with inflammatory markers

Persistent metabolic alterations were strongly associated with inflammatory markers

Original publication

Long-term metabolic consequences: persistence of visceral obesity and diabetes mellitus after remission from Cushing’s syndrome. Diabetes Res Clin Pract. Published 13 July 2026. doi:10.1016/j.diabres.2026.113436

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