Use the contraindications and special considerations of the replacement thyroid hormones to explain to a diabetic patient the outcome of discontinuing thyroid treatment without notifying the physician.

Question

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Thyroid hormone therapy in patients who have diabetes or adrenal insufficiency may exacerbate the underlying disease, leading to an increased requirement of insulin, oral hypoglycemics, and steroids. Once the antidiabetic drug has been adjusted for patients receiving concomitant thyroid therapy, the patients should not discontinue the thyroid drug without their physician's knowledge. Cessation of thyroid therapy may precipitate hypoglycemia unless the antidiabetic medication is readjusted.

Use the Contraindications and Special Considerations of the Replacement Thyroid