How much are Type1 Diabetic prone to diabetic disorders?
Many different things can cause hyperthyroidism and hypothyroidism, but in people with type 1 diabetes, the root cause is typically an autoimmune problem. People whose genes make them susceptible to autoimmune diseases will frequently develop more than one disorders.
The immune system doesn’t recognize the beta cell [in the pancreas] or the thyrocyte [in the thyroid] as belonging to self, and so they are attacked.
The most common cause of an overproduction of thyroid hormone in people with type 1 is Graves’ disease. Graves disease is an autoimmune disorder that causes the body to produce an antibody, called thyroid-stimulating immunoglobulin (TSI), that overrides the normal regulation of the thyroid.
You may have an increased heart rate and heart palpitations. Because of metabolism will speeds up, and may feel warm, lose weight, or have difficulty falling asleep. “You feel amped up,. “Like if your car has six cylinders, you may feel like you’re on eight cylinders.”
Hashimoto’s disease is also an autoimmune disorder common in people with type 1 diabetes. In fact, Hashimoto’s disease is the most common cause of hypothyroidism .In this case, the immune system attacks the thyroid gland, which interferes with its ability to produce enough thyroid hormone for the body.
You may feel cold; have a slow heart rate; gain weight; experience fatigue, sluggishness, or an increased desire for sleep; become constipated; or notice your hair is thinning and dry. In the same car analogy, “instead of six cylinders, you feel like you have four.”
Three common blood tests can measure blood levels of either the thyroid hormones (T3 and T4) or thyroid stimulating hormone (TSH)
TSH Test: Typically the first test used to see how the thyroid is working, this is considered the most accurate test for diagnosing thyroid dysfunction. Because TSH is released by the pituitary gland to stimulate the production of thyroid hormones, low test results (under 0.4 mIU/L) indicate hyperthyroidism. When test results are high (over 5.0 mIU/L), hypothyroidism is suspected.
As in type 1 diabetes, the body also produces thyroid antibodies that can be detected in the blood when an autoimmune reaction is occurring in the body. The two most common antibodies associated with hypothyroidism, anti-TPO and anti-TG, can increase the likelihood that someone will develop the disease. They each attack a different protein in the thyroid and can be useful in diagnosing Hashimoto’s disease.
Anti TPO antibodies should also be tested along with TSH when thyroid disorders are suspected .
Food and medication interactions can also become an issue when you have to take synthetic thyroid hormone. “Patients with diabetes have enough issues with managing calories and food, but when they have thyroid disease thrown in, they have new issues”. Thyroid hormone does not mix well with calcium, soy, and iron. These tablets should be avoided with thyroid replacement therapy as it can hinder its absorption .