Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions


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.

    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.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 6/19/09 • nvf