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Associated conditions and other complications
Thyroid disease
Hypothyroidism
- Overt hypothyroidism occurs in 1–5% of young people with type 1 diabetes
- Compensated hypothyroidism — asymptomatic, normal thyroxine level, modestly raised thyroid-stimulating hormone (TSH) — occurs in 1–10%
Diagnostic pointers
- Goiter
- Increased weight gain (facial fullness)
- Decreased growth rate
- Tiredness, lethargy
Hypothyroidism may not significantly affect metabolic control
Definitive diagnosis
Low total (or free) thyroxine; raised TSH
Treatment
L-Thyroxine with TSH monitoring
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