A case of type 1 diabetes with frequent hypoglycemic episodes induced by primary hypothyroidism

Masahiro Asakawa, Arisa Niwa, Momoko Akihisa, Mizuho Sawada, Atsuko Miyake, Mitsunobu Kawamura, Yoshihiro Ogawa

研究成果: Contribution to journalArticle

抜粋

A 46-year-old male was admitted due to recurrent hypoglycemic episodes. He developed diabetes mellitus in 2000 and became insulin-dependent in 2006. Following the initiation of insulin treatment, his glycemic control stabilized (HbAlc: 6 % to 7 %). However, in 2013 (at 46 years of age), the frequency of the hypoglycemic episodes increased starting three months prior to hospitalization, which occurred after the patient experienced a low-grade fever for approximately three weeks. Symptoms such as easy fatigability, coldness, hypohidrosis and weight gain were noted concomitantly with the onset of frequent hypoglycemic episodes. He was diagnosed with primary hypothyroidism, and thyroid hormone replacement therapy was started. As a result of switching the patient's insulin therapy from multiple injections to an insulin pump in the hospital, the hypoglycemic episodes became infrequent The patient's frequent hypoglycemic episodes were thought to be induced by primary hypothyroidism due to destructive thyroiditis complicating type 1 diabetes. Thyroid hormone deficiency delays the intestinal absorption of glucose, decreases gluconeogenesis in the liver and impairs glucagon secretion as the counterregulatory response to hypoglycemia Accordingly, hypothyroidism can cause hypoglycemia This case serves as a reminder that hypothyroidism should be taken into consideration as a possible cause of hypoglycemia.

元の言語英語
ページ(範囲)242-248
ページ数7
ジャーナルJournal of the Japan Diabetes Society
57
発行部数4
出版物ステータス出版済み - 2014
外部発表Yes

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

フィンガープリント A case of type 1 diabetes with frequent hypoglycemic episodes induced by primary hypothyroidism' の研究トピックを掘り下げます。これらはともに一意のフィンガープリントを構成します。

  • これを引用

    Asakawa, M., Niwa, A., Akihisa, M., Sawada, M., Miyake, A., Kawamura, M., & Ogawa, Y. (2014). A case of type 1 diabetes with frequent hypoglycemic episodes induced by primary hypothyroidism. Journal of the Japan Diabetes Society, 57(4), 242-248.