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Controversies in Diabetes and Pregnancy pp 90–100Cite as

Thyroid Disorders in Pregnant Women With Type I Diabetes

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Part of the book series: Endocrinology and Metabolism ((EAM,volume 2))

Abstract

The association of diabetes with thyroid disorders is well documented (1–9). The incidence of clinical and subclinical thyroid disorders in patients with type I diabetes (insulin-dependent diabetes or IDD) has been reported to be as high as 30% (10). The incidence of hypothyroidism in a diabetic population varies from 0.2% to 12%, with a female prevalence over males as high as 7:1 (2). Hyperthyrodism may also be increased in patients with insulin-dependent diabetes mellitus, with a ratio of females to males between 2 and 5:1 (9). If the prevalence of thyroid dysfunction is so high in women with diabetes mellitus, then the clinician who cares for pregnant women (up to 20% with thyroid problems), type I diabetic (up to 30% with thyroid problems) women (sevenfold increase in prevalence over males) should be especially aware of the strategies for diagnosis and management of thyroid disorders. This chapter briefly reviews the literature concerning thyroid disease and type I diabetes, thyroid disease and pregnancy, and the occurrence of all three together. It also suggests surveillance and treatment protocols for managing the thyroid problems that complicate pregnancies in the woman with IDD.

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Authors
  1. Lois Jovanovic
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  2. Charles M. Peterson
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Editor information

Editors and Affiliations

  1. Sansum Medical Research Foundation, 93105, Santa Barbara, CA, USA

    Lois Jovanovic M.D.

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© 1988 Springer-Verlag New York Inc.

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Jovanovic, L., Peterson, C.M. (1988). Thyroid Disorders in Pregnant Women With Type I Diabetes. In: Jovanovic, L. (eds) Controversies in Diabetes and Pregnancy. Endocrinology and Metabolism, vol 2. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3792-1_6

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  • DOI: https://doi.org/10.1007/978-1-4612-3792-1_6

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-8353-9

  • Online ISBN: 978-1-4612-3792-1

  • eBook Packages: Springer Book Archive

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