Italian Association of Clinical Endocrinologists (AME) & Italian Association of Clinical Diabetologists (AMD) Position Statement

作者：Guastamacchia Edoardo; Triggiani Vincenzo^*; Aglialoro Alberto; Aiello Antimo; Ianni Lucia; Maccario Mauro; Zini Michele; Giorda Carlo; Guglielmi Rinaldo; Betterle Corrado; Attanasio Roberto; Borretta Giorgio; Garofalo Piernicola; Papini Enrico; Castello Roberto; Ceriello Antonio

来源：Endocrine, 2015, 49(2): 339-352.

DOI：10.1007/s12020-014-0474-9

• Diabetes mellitus
• Thyroid disorders
• Hypothyroidism
• Hyperthyroidism
• Autoimmune thyroid diseases
• Glycemic control

Thyroid disease and diabetes mellitus, the most common disorders in endocrine practice, are not infrequently associated in the same subject. An altered thyroid function may affect glucose tolerance and worsen metabolic control in patients with diabetes. Thyrotoxicosis increases the risk of hyperglycemic emergencies, while a clinically relevant hypothyroidism may have a detrimental effect on glycemic control in diabetic patients. The association of alterations in thyroid function with diabetes mellitus may adversely affect the risk of cardiovascular and microvascular complications resulting from diabetes. Moreover, the treatments used for both diabetes and thyroid disease, respectively, can impact one other. Finally, multinodular goiter, but not thyroid carcinoma, was shown to be more prevalent in type 2 diabetes mellitus. Aim of the present Position Statement is to focus on the evidence concerning the association of thyroid disease and diabetes mellitus and to provide some practical suggestions for an updated clinical management.

• 出版日期2015-6