Hypothyroidism and Diabetes Mellitus
HYPOTHYROIDISM AND DIABETES MELLITUS
Hypothyroidismand Diabetes Mellitus
Conclusionof type 1
Hypothyroidismand diabetes Mellitus type 1 disorders have numerous signs andsymptoms but there are specific symptoms that help medicalpractitioners to make efficient diagnosis. Research shows that thereis a direct link between the two disorders and they mutually impacteach other. These signs are identified depending on the sternness ofhormone deficiency. They include weakness, fatigue, weight gain andlack of energy at the very first days (Yudofskyet al., 2013).Most people are in the assumption that these signs are as a result ofgetting older. Individuals experience these symptoms as themetabolism continues to slag. This makes the patient to feel slowerand heavier making him take a longer period when processing thoughtsand ideas. At times, one may lose interest for daily activities. Inaddition a patient may experience an increased sensitivity to cold,puffy face and constipation among others (Joslinet al., 2010).It is also advised that medical practitioners should be able todetect these early signs to prevent the conditions from worsening.
Researchshows that patients diagnosed with diabetes have a higher chance ofthyroid disorder as compared to normal people. The same researchshows that a patient who has a malfunctions organ is more likely todevelop other disorders. Studies claim that more than 28% of femaleshave both thyroid and diabetes Mellitus type 1 disease (LeRoith& Olefsky 2014).The ratio of thyroid in diabetes is three times that of thyroid freefemales. The rate of existence of thyroid disease in diabetesMellitus type 2 is also high. There are numerous complications thatthese disorders cause if appropriate measures are not put in place.Untreated hypothyroidism can cause heart problems (Yudofskyet al., 2013).This is because the high levels of bad cholesterol can happen topeople with undesirable thyroid. They can cause an enlargement of theheart thus interfering with the heart pumping ability.
Theother implication of these disorders is that they can cause a mentalhealth problem. One of the symptoms of hypothyroidism is having aslow process of ideas. Depression that occurs during the early stagescan be severe leading to a mental issue. Goiter is also a conditionthat may develop due to a continuous release of hormones (LeRoith& Olefsky 2014).They make the thyroid to enlarge leading to Goiter. The increase insize changes the appearance of the patient as well interfering withthe breathing process. The other complication is peripheralneuropathy. It damages the peripheral nerves. These include thenerves conveying information from the brain to the entire body. Apatient looses muscle control and feels a general body weakness(Silvermanet al., 2011).The fourth complication is Myxedema. It is a life-threateningdisorder whereby the patient experiences cold intolerance, lethargyand drowsiness among others. Studies also identify infertility ashaving a direct link with diabetes Mellitus 1. Autoimmune diseasesand low limited levels of thyroid hormone affect ovulation which inturn causes infertility. Other complications associated with theseconditions include birth defects eye and foot damage (Silvermanet al., 2011).
TheSpanish culture has numerous values that are observed in a clinicalsetting. Empathy, respect and friendliness are some of the normativevalues that should be used while interacting with Spanish patients.Medical practitioners should listen to what the patients has toexpress in order to avoid conflict (Kanellos,2013).It is also important for the healthcare providers to request familybackground information in order to improve the doctor-patientrelationship. According to the Spanish or Latino culture, theybelieve that the doctor should be close to the patient when offeringtreatment because this is beings personable. This is the best way apatient feels comfortable. In addition, respecting the patient’spersonhood as well as age is an important element in the Latinoculture.
Theoutcomes of different interviews conducted on Spanish patientsrevealed that using the word “Don” when referring to old patientsshows greater respect (Kanellos,2013).Doctors should also request permission from patients beforeconducting experiments on them. Spanish patients consider thesevalues as essential when receiving medication. There are certainLatino beliefs associated with health care that affect the Spanishculture. They believe that diseases are as a result of committingsins. They consider it as a punishment from God. It is theresponsibility of medical practitioners to address these issues byimproving the communication with patients that will enhancecompliance with treatment (Kanellos,2013).
Medicalpractitioners’ recommend that screening for the disorder andreceiving annual physical examinations will help in testing anddiagnosing hypothyroidism. These tests are carried on patientsexperiencing symptoms such as weight gain, a feeling of an increasedtired and constipation among others (Joslinet al., 2010).The first test for hypothyroidism is blood tests. These are aimed atmeasuring the level of Thyroid Hormone Thyroxine as well as TSH. Highlevels are signs of underactive thyroid. It was difficult to detecthypothyroidism symptoms in the past until they had advanced. Today,doctors use sensitive TSH test to identify such signs at the earlystages. In addition, TSH tests help manage the condition bydetermining the correct dosage both at the early stages and overtime.
Medicalprofessionals carry out numerous tests and diagnosis for diabetesMellitus type 1. They include Glycated hemoglobin (AIC) test (Cefalu,2012).This helps identify the blood sugar level in the last few months.Results show that the higher the blood sugar levels, the morehemoglobin in sugar. A level of more than 6.5 % shows the presence ofdiabetes. Other tests include random and fasting blood sugar tests.It includes taking blood samples at random time and after anovernight fast respectively. A random blood sugar level of more than200mg/dl and a fasting level of over 125mg/dl suggest diabetes(Cefalu,2012).
Hypothyroidismis one of the most common thyroid diseases that affect the generalpopulation and mainly older women. Hypothyroidism and diabetesMellitus are the common endocrine conditions that a healthcareprofessional encounters in the clinical practice. Research shows thatthere is a direct link between the two and they mutually impact eachother (Joslinet al., 2010).These disorders lead to significant metabolic disturbances. It istherefore recommended that diabetic patients should seek regularscreening to detect any symptoms of thyroid abnormalities. This willensure that they receive early treatment to prevent the conditionworsening. The sensitive THS tests are recommended for screening(Silvermanet al., 2011).Patients with diabetes Mellitus type 1 should undergo medical checkup to identify the presence of anti-TPO antibodies. Healthcareprofessionals recommend TSH screening after every 23 years indiabetes type 1 and after every 5 years if type 2 is detected.
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Kanellos,N., (2013). Handbookof Hispanic Culture-Anthropology. Arte Publico Press
LeRoith,D., Taylor, S. I., & Olefsky, J. M. (2014). Diabetesmellitus: A fundamental and clinical text.Philadelphia: Lippincott Williams & Wilkins.
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