This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (29)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Ramachandiran Cooppan, MB, ChB, FRCP(C); George P. Kozak, MD

Arch Intern Med. 1980;140(3):370-373.

Abstract
• Hyperthyroidism developed in 70 patients with diabetes mellitus. Nine patients had masked hyperthyroidism with weight loss as the main sign. Diabetic control deteriorated in 28 of 48 insulin-dependent patients and in four of 22 taking hypoglycemic agents orally. Recurrent ketoacidosis occurred in two. Insulin requirements increased in 11 of 48 by 25% to 100% (mean, 50%). Following treatment of the hyperthyroidism, insulin requirements decreased in 13 of 48 by 20% to 100% (mean, 35%). Four of 22 patients were changed from orally ingested hypoglycemic drugs to insulin. Because of similar symptoms, underlying hyperthyroidism must be considered in any patient whose diabetes is poorly controlled.

(Arch Intern Med 140:370-373, 1980)

Author Affiliations
From the Joslin Clinic, Department of Medicine, New England Deaconess Hospital and Harvard Medical School, Boston.

Footnotes
Accepted for publication May 25, 1979.

Read in part before the sixth Asia and Oceana Congress of Endocrinology, Singapore, Jan 27, 1978.

Reprint requests to Joslin Clinic, 1 Joslin PI, Boston, MA 02215 (Dr Cooppan).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Thyroid Storm With Normal Serum Triiodothyronine Level During Diabetic Ketoacidosis
Ahmad and Cohen
JAMA 1981;245:2516-2517.
ABSTRACT