Diabetes and Thyroid Disease: A Likely Combination

Abstract

J.K., a 70-year-old woman with type 2 diabetes, is evaluated in an outpatient endocrinology clinic during a routine appointment. She was diagnosed with diabetes 5 years ago and participated in a comprehensive basic diabetes education program approximately 2 years ago. She regularly checks her blood glucose before breakfast and 2 hours after meals. Fasting blood glucose levels typically range from 105 to 115 mg/dl, whereas postprandial blood glucose levels range from 120 to 160 mg/dl. J.K. has no known macrovascular or microvascular complications. Her last dilated eye exam was 6 months ago. Additional medical problems include hypertension and asthma. A review of systems was unremarkable except complaints of mild fatigue and muscle cramps. J.K.’s current medications include: A limited physical examination revealed: J.K.’s laboratory results were as follows: