Aside from the direct consequences of high blood sugar itself, which are discussed in Question 29, people with diabetes are at risk of suffering from other associ- ated diseases. In the case of type 1 diabetes, the dis- eases either result from the high blood sugar or from the root cause of the diabetes, which is a predisposition to destroy the hormone-producing tissues (called autoimmunity). Thus, a person with type 1 diabetes is more likely to suffer from adrenal gland damage (Addison’s disease), thyroid gland damage (Graves’ or, much more commonly, Hashimoto’s disease), and sev- eral other disorders. Fortunately, except in the case of thyroid disease, which affects about one in three peo- ple with type 1 diabetes, the likelihood of developing one of these other disorders is not high, but can be so in certain families. Most people with type 1 diabetes are screened annually for thyroid disease. In the case of type 2 diabetes, the other diseases appear to be inde- pendent, but related. In other words, they and the dia- betes arise from a common soil in the affected person’s metabolic makeup. These related diseases include cho- lesterol and other blood fat abnormalities (dyslip- idemia), high blood pressure (hypertension), and gout. The first two are commonly seen in people with type 2 diabetes, while the third is less so.