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Screening for thyroid disease in patients with type 2 diabetes mellitus: An evaluation of current practice by Tanuka Palit; Adrian H Heald; Anthony A Fryer; Christopher J Duff is a Medicine article available to read on EtoBox.

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## Background United Kingdom national guidelines do not recommend routine testing for thyroid disease in people with type 2 diabetes mellitus (T2DM). However, some studies suggest an increased risk of thyroid dysfunction in T2DM. The aim of this study was to evaluate the current practice of screening for thyroid disease in patients with T2DM. ## Methods Patients with pre-existing T2DM ( n = 339) were selected from records for routine glycated haemoglobin testing performed in December 2008. Using routinely collected primary/secondary care data from 2009 to 2017, we examined longitudinal thyroid-stimulating hormone and free thyroxine requests to determine the overall proportion of patients screened for thyroid dysfunction and the time interval between thyroid tests requested. ## Results Thirty-three patients (9.7%) had pre-existing thyroid disease. Of the remaining 306 patients, 96.4% had at least one thyroid test during the follow-up period. When the time interval between tests was evaluated in these patients, there was a discrete peak in thyroid function test requests at 12 months, consistent with routine annual testing. Most requests (77%) originated from a general practice settin

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Author

Tanuka Palit; Adrian H Heald; Anthony A Fryer; Christopher J Duff

Publisher

Royal Society of Medicine Press; SAGE Publications; SAGE Publications Inc. (ISSN 0004-5632)

Published

2020

Language

EN

Field

Medicine (Health Sciences)