Hi Jeff,
I don't have any lumps on my thyroid, but I have hyperthyroidism and when I was first diagnosed I was found to be borderline diabetic, which is a common symptom of hyperthyroidism (maybe hypo -- not sure). My doctor (a very skilled chiropractor who does a lot of other things involving nutrition, blood test analysis, etc.) advised me to get the hyperthyroidism under control right away or I could progress to full-fledged diabetes. I'm sure you're doing some research on your own -- and I HIGHLY ENCOURAGE it! I saw that there are several articles on the internet you can read. I included excerpts from two of them here:
Website: besuretotest.com (article titled "Diabetes and Thyroid Disease: Understanding the Connection" ) --
About one-third of type 1 diabetics have thyroid disease. Studies suggest a tendency for diabetes and thyroid disease to co-occur in patients: Diabetes and thyroid disease both affect the body's endocrine system, which regulates metabolism.
Thyroid gland malfunction is typically categorized as hypothyroidism, which occurs when the thyroid gland produces less thyroid hormone than the body requires, or hyperthyroidism, which occurs when the thyroid gland produces excess levels of thyroid hormone.
Type 1 diabetes and thyroid disease are auto-immune disorders. Auto-immune disorders occur when the body's immune system attacks the body instead of defending it from disease and infection. Patients suffering with auto-immune disorder are likely to have more than one type. For example, a patient may have Addison's disease and type 1 diabetes, or a type 1 diabetic may also have rheumatoid arthritis.
The link between type 2 diabetes and thyroid disease is less conclusive, but both conditions are associated with aging, so co-occurrences of type 2 diabetes and thyroid disease can be expected.
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website: http://journal.diabetes.org/clinicaldiabetes/v18n12000/pg38.htm
Diabetic patients have a higher prevalence of thyroid disorders compared with the normal population (Table 1). Because patients with one organ-specific autoimmune disease are at risk of developing other autoimmune disorders, and thyroid disorders are more common in females, it is not surprising that up to 30% of female type 1 diabetic patients have thyroid disease. The rate of postpartum thyroiditis in diabetic patients is three times that in normal women. A number of reports have also indicated a higher than normal prevalence of thyroid disorders in type 2 diabetic patients, with hypothyroidism being the most common disorder.
Table 1. Prevalence Rates for Thyroid Disease
Thyroid disease in the general
population: 6.6%
Thyroid disease in diabetes:
Overall prevalence: 10.813.4%
Hypothyroidism: 36%
Subclinical hypothyroidism: 513%
Hyperthyroidism: 12%
Postpartum thyroiditis: 11%
How Thyroid Dysfunction May Affect Diabetic Patients
The presence of thyroid dysfunction may affect diabetes control. Hyperthyroidism is typically associated with worsening glycemic control and increased insulin requirements. There is underlying increased hepatic gluconeogenesis, rapid gastrointestinal glucose absorption, and probably increased insulin resistance. Indeed, thyrotoxicosis may unmask latent diabetes.
In practice, there are several implications for patients with both diabetes and hyperthyroidism. First, in hyperthyroid patients, the diagnosis of glucose intolerance needs to be considered cautiously, since the hyperglycemia may improve with treatment of thyrotoxicosis. Second, underlying hyperthyroidism should be considered in diabetic patients with unexplained worsening hyperglycemia. Third, in diabetic patients with hyperthyroidism, physicians need to anticipate possible deterioration in glycemic control and adjust treatment accordingly. Restoration of euthyroidism will lower blood glucose level.
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Do lots of research and listen to your intuition. Use doctors for guidance, but take your health into your own hands. What I've found with thyroid issues is that everyone is different and that thyroid issues are very complex and may have many different causes/combinations of causes. It's overwhelming! But it's great to have a forum like this to vent and to get ideas and suggestions from others with similar challenges so that you can have a little more armor -- become a little more powerful in taking control of your own health.
My personal opinion -- should you ever get to this point and have to choose whether or not to get invasive procedures such as radioactive iodine or removal of the thyroid -- don't get them if you don't have to! There are many other less-invasive treatments. And don't forget the mind-body connection: emotional healing from the past; removal of current stressors; meditation; dietary changes; taking supplements; and a host of other holistic treatments will help you tremendously in conjunction with any conventional treatments you decide to do.
It may be a long journey of trial and error, but hopefully you'll figure it all out and feel good about your choices! Be powerful!
Best of luck,
Veronica