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.
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