Hypothyroidism substitution and adrenal insufficiency in diabetic patients

Abstract

The basis of substitution in adrenal insufficiency is replacement of hydrocortisone in doses that do not have negative metabolic effects. Preparations available today do not allow imitating the nature diurnal rhythm but slow-release tablets are being tested.

Androgen substitution is not routinely recommended.

Keywords

• diabetes mellitus
• hypothyroidism
• adrenal insufficiency
• Addison´s disease
• replacement