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Thyroid diseases – ally or enemy of type 1 diabetes in children and adolescents?
INTRODUCTION: Autoimmune thyroid diseases (AIT) are one of the most common disorders associated with type 1 diabetes (T1D) and they are capable of influencing its course. For Hashimoto’s lymphocytic thyroiditis, the incidence is 14–28%, while for Graves-Basedow hyperthyroidism it is 0.5–7%. AIM OF T...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Termedia Publishing House
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10214941/ https://www.ncbi.nlm.nih.gov/pubmed/33853289 http://dx.doi.org/10.5114/pedm.2020.101809 |
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author | Ogarek, Natalia Mrówka, Anna Jarosz-Chobot, Przemysława |
author_facet | Ogarek, Natalia Mrówka, Anna Jarosz-Chobot, Przemysława |
author_sort | Ogarek, Natalia |
collection | PubMed |
description | INTRODUCTION: Autoimmune thyroid diseases (AIT) are one of the most common disorders associated with type 1 diabetes (T1D) and they are capable of influencing its course. For Hashimoto’s lymphocytic thyroiditis, the incidence is 14–28%, while for Graves-Basedow hyperthyroidism it is 0.5–7%. AIM OF THE STUDY: Assessment of type 1 diabetes in the pediatric population with coexisting autoimmune thyroid diseases: Hashimoto’s lymphocytic thyroiditis and Graves-Basedow’s disease. MATERIAL AND METHODS: Analyzing publications from the PubMed scientific database from 1990 to May 2020. RESULTS: Among pediatric patients with T1D and coexisting thyroid autoimmunity insufficient glycemic control is usually observed. Reported average increase in glycated hemoglobin concentration ranges from 7.9 to 9.2%. In children with T1D and subclinical hypothyroidism, an increased number of episodes of hypoglycemia was noted – 5 vs. 2 episodes per year among children with euthyroidism. In hyperthyroidism patients the number of episodes of hypoglycemia was 34.4 vs. 17.2 per 100 incidents in euthyroidism patients. An increased occurrence of diabetic ketoacidosis events may also be observed – 18.1 vs. 7.7 per 100 patients with euthyroidism per year. The risk of developing chronic complications in the form of cardiovascular diseases is also higher. However, basing on the available literature, this subject is still debatable. CONCLUSIONS: Autoimmune thyroid diseases often accompany and interfere with type 1 diabetes in children and adolescents. Paying special attention to the different course of diabetes in the presence of thyroid disorders is an important and essential element of diabetes care. |
format | Online Article Text |
id | pubmed-10214941 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-102149412023-06-05 Thyroid diseases – ally or enemy of type 1 diabetes in children and adolescents? Ogarek, Natalia Mrówka, Anna Jarosz-Chobot, Przemysława Pediatr Endocrinol Diabetes Metab Review paper | Praca poglądowa INTRODUCTION: Autoimmune thyroid diseases (AIT) are one of the most common disorders associated with type 1 diabetes (T1D) and they are capable of influencing its course. For Hashimoto’s lymphocytic thyroiditis, the incidence is 14–28%, while for Graves-Basedow hyperthyroidism it is 0.5–7%. AIM OF THE STUDY: Assessment of type 1 diabetes in the pediatric population with coexisting autoimmune thyroid diseases: Hashimoto’s lymphocytic thyroiditis and Graves-Basedow’s disease. MATERIAL AND METHODS: Analyzing publications from the PubMed scientific database from 1990 to May 2020. RESULTS: Among pediatric patients with T1D and coexisting thyroid autoimmunity insufficient glycemic control is usually observed. Reported average increase in glycated hemoglobin concentration ranges from 7.9 to 9.2%. In children with T1D and subclinical hypothyroidism, an increased number of episodes of hypoglycemia was noted – 5 vs. 2 episodes per year among children with euthyroidism. In hyperthyroidism patients the number of episodes of hypoglycemia was 34.4 vs. 17.2 per 100 incidents in euthyroidism patients. An increased occurrence of diabetic ketoacidosis events may also be observed – 18.1 vs. 7.7 per 100 patients with euthyroidism per year. The risk of developing chronic complications in the form of cardiovascular diseases is also higher. However, basing on the available literature, this subject is still debatable. CONCLUSIONS: Autoimmune thyroid diseases often accompany and interfere with type 1 diabetes in children and adolescents. Paying special attention to the different course of diabetes in the presence of thyroid disorders is an important and essential element of diabetes care. Termedia Publishing House 2021-01-18 2021-06 /pmc/articles/PMC10214941/ /pubmed/33853289 http://dx.doi.org/10.5114/pedm.2020.101809 Text en Copyright © Polish Society of Pediatric Endocrinology and Diabetes https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs (CC BY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), allowing third parties to download and share its works but not commercially purposes or to create derivative works. |
spellingShingle | Review paper | Praca poglądowa Ogarek, Natalia Mrówka, Anna Jarosz-Chobot, Przemysława Thyroid diseases – ally or enemy of type 1 diabetes in children and adolescents? |
title | Thyroid diseases – ally or enemy of type 1 diabetes in children and adolescents? |
title_full | Thyroid diseases – ally or enemy of type 1 diabetes in children and adolescents? |
title_fullStr | Thyroid diseases – ally or enemy of type 1 diabetes in children and adolescents? |
title_full_unstemmed | Thyroid diseases – ally or enemy of type 1 diabetes in children and adolescents? |
title_short | Thyroid diseases – ally or enemy of type 1 diabetes in children and adolescents? |
title_sort | thyroid diseases – ally or enemy of type 1 diabetes in children and adolescents? |
topic | Review paper | Praca poglądowa |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10214941/ https://www.ncbi.nlm.nih.gov/pubmed/33853289 http://dx.doi.org/10.5114/pedm.2020.101809 |
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