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Endocrinology


Answer 4
  1. Type 1 diabetics have an increased prevalence of thyroid dysfunction. Individuals with type 1 diabetes have a three- to fourfold increased prevalence of postpartum thyroiditis.7,8 Other autoimmune diseases are thought to increase the risk of thyroid dysfunction as well. There is no consensus as to the value of screening for postpartum thyroiditis; however, some physicians screen patients with autoimmune diseases, such as lupus, type 1 diabetes, and rheumatoid arthritis. There is no evidence to suggest that there is an association between uncontrolled diabetes and abnormal postpartum thyroid function tests.

    REFERENCES
    7. Alvarez-Marfany M, Roman SH, Drexler AJ, et al. Long-term prospective study of postpartum thyroid dysfunction in women with insulin dependent diabetes mellitus. J Clin Endocrinol Metab 1994;79:10–6.

    8. Gerstein HC. Incidence of postpartum thyroid dysfunction in patients with type I diabetes mellitus. Ann Intern Med 1993;118:419–23.

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