The challenges of managing type 1 diabetes with other autoimmune diseases

IF 0.5 Q4 ENDOCRINOLOGY & METABOLISM Practical Diabetes Pub Date : 2022-09-01 DOI:10.1002/pdi.2418

Mohammed Salloum, R. Poole

引用次数: 1

Abstract

People with type 1 diabetes have an increased risk of developing other autoimmune diseases compared to the background population and this risk has been increasing over the last 20 years. Coeliac disease affects absorption of food which can lead to hypoglycaemia in people with diabetes. Both conditions have dietary restrictions and managing the two can make food choices more difficult. Addison's disease can lead to significant challenges in managing blood glucose particularly in times of intercurrent illness and significantly increases morbidity and mortality in patients with diabetes. Thyroid disease, both hyperthyroidism (Graves’ disease) and hypothyroidism (Hashimoto's thyroiditis) can affect blood glucose levels directly by changes in glucose uptake and metabolism or indirectly through changes in weight. Management of type 1 diabetes includes being alert to the possibility of these potential additional diagnoses. Copyright © 2022 John Wiley & Sons.

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管理1型糖尿病合并其他自身免疫性疾病的挑战

与正常人群相比，1型糖尿病患者患其他自身免疫性疾病的风险增加，而且这种风险在过去20年里一直在增加。乳糜泻会影响食物的吸收，从而导致糖尿病患者低血糖。这两种疾病都有饮食限制，控制这两种疾病会使食物选择更加困难。阿狄森氏病会给血糖管理带来重大挑战，特别是在合并疾病的时候，并会显著增加糖尿病患者的发病率和死亡率。甲状腺疾病，无论是甲状腺功能亢进(Graves病)还是甲状腺功能减退(桥本甲状腺炎)，都可以通过葡萄糖摄取和代谢的改变直接影响血糖水平，或者通过体重的改变间接影响血糖水平。1型糖尿病的管理包括警惕这些潜在的附加诊断的可能性。版权所有©2022 John Wiley & Sons。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Practical Diabetes ENDOCRINOLOGY & METABOLISM-

CiteScore

1.10

自引率

16.70%

发文量

期刊介绍： Practical Diabetes concerns itself with all aspects of the worldwide clinical science and practice of diabetes medicine. The journal recognises the importance of each member of the healthcare team in the delivery of diabetes care, and reflects this diversity of professional interest in its editorial contents. The Editors welcome original papers, case reports, practice points, audit articles and letters on any aspect of clinical diabetes care from any part of the world. The journal also publishes commissioned leaders, review articles and educational and training series, for which an honorarium normally is paid. All articles submitted to Practical Diabetes are independently peer reviewed. They must not have been published or be under submission currently elsewhere. Enquiries from prospective authors are welcomed and the Editors will be pleased, if asked, to advise on preparation and submission of articles. All articles and enquiries should be directed to the Editors at the publishing address below. The journal is published nine times a year, and currently the average waiting time for acceptance of articles is eight weeks, and for subsequent publication sixteen weeks. Practical Diabetes is independent of any commercial or vested interest.