- Type2 Diabetes & hypothyroidism meet each other through various common clinical characteristics.
- Both are independently associated with –
- Overweight/Obesity
- Dyslipidemia(Rise in bad Cholesterol & Fall in Bad Cholesterol)
- Hypertension(Abnormal Increase in Blood Pressure)
- Depression.
- A combination of both Type2 diabetes and hypothyroidism puts the person at higher risk of Insulin Resistance & Cardiovascular Disease. Uncontrolled hypothyroidism may mask the clinical features of Type2 diabetes, which becomes evident only after a euthyroid state (Normal Sr.TSH) is achieved.
- There is an increased risk of Nephropathy in Type 2 Diabetics with Hypothyroidism.In such cases thyroid replacement therapy improves the renal function.
- Diabetic patients with sub-clinical hypothyroidism have more severe retinopathy than euthyroid pts with Type2 Diabetes
- Sr.TSH should be done in all persons with newly diagnosed Type 1 Diabetes after good blood glucose control.Regular follow up at yearly intervals is indicated for all persons with Type 1 Diabetes .
- All women with Type 2Diabetes must be screened for postpartum thyroiditis at 3 and 6 months after delivery.
- Patients with poor glycemic control , frequent episodes of Hypo -glycaemia, frequent episodes of ketosis & brittle diabetes must undergo thyroid testing.
- Unexplained atrial fibrillation in person with diabetes also requires thyroid function assessment.
- Hyperthyroidism impairs glycemic control in diabetes while hypo -thyroidism increases the susceptibility to hypoglycaemias.
Thus complicating diabetes management.