Hypothyroidism Among the Patients with Type 2 Diabetes Mellitus – Management Considerations of the Two Conditions

Abstract

Hypothyroid patients may frequently have co-existing Type 2 Diabetes Mellitus T2DM as seen in routine practice. Clinical guidelines highlight the importance of assessing thyroid hormone levels in type 2 diabetes mellitus patients recommending annual laboratory testing for thyroid dysfunction in type 2 diabetes mellitus TSH assay should be carried out at least every 5 years. As patients with co-existing type 2 diabetes mellitus and thyroid disease TD are under therapy with combination of drugs and as these administered drugs can modify thyroid function as well as glycaemic control alteration in treatment regimen or adjustments in dose of drugs may be required. Thorough Pubmed and Elseiver database evidence search was conducted for original research articles related to hypothyroidism and type 2 diabetes mellitus. Adequate work up for detection of thyroid disease followed by annual screening along with proper treatment and medication adherence is necessary for good glycemic control and prevention of cardiovascular complications associated with hypothyroidism and type 2 diabetes mellitus.nbsp