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Thyroid function at diagnosis of type I diabetes

Joseph, J.; Saroha, V.; Payne, H.; Paul, P.; Didi, M.; Isherwood, D.; Blair, J.

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2011-08

10.1136/adc.2009.168799

PMID: 20576659

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Abstract:

BACKGROUND: National guidelines recommend that thyroid function is assessed at diagnosis of type I diabetes (TIDM) and annually thereafter. This paper reports an audit of thyroid surveillance in accordance with this guideline. PATIENTS: 110 patients (66 males), median age 11.3 (1.2-15.7) years at diagnosis of TIDM, were monitored for 2.3 (0.7-4.2) years. RESULTS: 21/110 (19.0%) patients had abnormal thyroid function at diagnosis of TIDM. Of these, 16 had normal thyroid function on reassessment after 45 (3-540) days. Abnormalities of thyroid function occurred more commonly in children with diabetic ketoacidosis (DKA) than those who did not have DKA (9/29, 31.0% vs 12/81, 14.8%, p

Automatic Tags

Female; Humans; Male; Adolescent; Child; Child, Preschool; Infant; Thyrotropin; Practice Guidelines as Topic; Population Surveillance; Diabetes Mellitus, Type 1; Guideline Adherence; Thyroid Gland; Diabetic Ketoacidosis; Thyroid Function Tests; Thyroiditis, Autoimmune