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Online Letters: Comments and Responses

Thyroid Autoimmunity at Onset of Type 1 Diabetes as a Predictor of Thyroid Dysfunction

Response to González et al.

  1. Roderick E. Warren, MD and
  2. Brian M. Frier, MD
  1. Department of Diabetes, Royal Infirmary of Edinburgh, Edinburgh, U.K
  1. Address correspondence to Prof. Brian M. Frier, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, U.K. E-mail: brian.frier{at}luht.scot.nhs.uk
Diabetes Care 2007 Nov; 30(11): e120-e120. https://doi.org/10.2337/dc07-1292
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Response to González et al.

We read with interest the work of González et al. (1), which to our knowledge is the largest study of the predictive value of thyroid antibody testing for future thyroid dysfunction in patients with type 1 diabetes. We previously examined this in a retrospective study of 467 patients with diabetes (81 with type 1 diabetes) and found that, although the presence of thyroid autoantibodies at diagnosis predicted later thyroid dysfunction, a high-normal baseline thyroid stimulating hormone (TSH) level (i.e., above the 75th percentile) was more predictive (2). When both were combined in the same statistical model, only the baseline TSH level remained a statistically significant predictor. We speculated that this was because a high-normal TSH represents early thyroid disease and that the TSH assay may have been more sensitive than the antibody assays.

It would be interesting to know whether a similar pattern was seen in the data of González et al.

Footnotes

  • DIABETES CARE

References

  1. ↵
    González GC, Capel I, Rodríguez-Espinosa J, Mauricio D, de Leiva A, Pérez A: Thyroid autoimmunity at onset of type 1 diabetes as a predictor of thyroid dysfunction. Diabetes Care 30: 1611–1612, 2007
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  2. ↵
    Warren RE, Perros P, Nyirenda MJ, Frier BM: Serum thyrotropin is a better predictor of future thyroid dysfunction than thyroid autoantibody status in biochemically euthyroid patients with diabetes: implications for screening. Thyroid 14: 853–857, 2004
    OpenUrlCrossRefPubMed
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Diabetes Care: 30 (11)

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November 2007, 30(11)
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Thyroid Autoimmunity at Onset of Type 1 Diabetes as a Predictor of Thyroid Dysfunction
Roderick E. Warren, Brian M. Frier
Diabetes Care Nov 2007, 30 (11) e120; DOI: 10.2337/dc07-1292

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Thyroid Autoimmunity at Onset of Type 1 Diabetes as a Predictor of Thyroid Dysfunction
Roderick E. Warren, Brian M. Frier
Diabetes Care Nov 2007, 30 (11) e120; DOI: 10.2337/dc07-1292
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