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目前认为糖尿病与甲状腺疾病有共同的遗传免疫学基础，二者关系密切。糖尿病合并甲状腺疾病可根据发病时间先后分为不同类型。21例中有16例糖尿病合并甲状腺功能亢进（甲亢），2例糖尿病合并甲状腺功能减退症（甲减），3例糖尿病合并亚急性甲状腺炎（亚甲炎）。1例甲亢、糖尿病、肾上腺皮质功能低下，临床上罕见。甲亢与糖尿病临床表现有共同之处，症状重叠，互为影响。甲亢患者就诊时要注意血糖水平，糖尿病患者就诊时特别要注意有无高代谢症状出现。一旦诊断明确，应两者兼顾，同时治疗。
Now that diabetes and thyroid disease have a common basis of genetic immunology, the two are closely related. Diabetes combined thyroid disease can be divided into different types according to the onset time. Twenty-one of the 21 patients had diabetes mellitus (hyperthyroidism), 2 diabetes mellitus with hypothyroidism (hypothyroidism), and 3 diabetes mellitus complicated with subacute thyroiditis (methyleneitriphritis). 1 case of hyperthyroidism, diabetes, adrenal insufficiency, clinically rare. Hyperthyroidism and clinical manifestations of diabetes have in common, the symptoms overlap, influence each other. Hyperthyroidism patients should pay attention to blood glucose levels, especially when patients with diabetes mellitus pay attention to high metabolic symptoms appear. Once the diagnosis is clear, both should be treated at the same time.