A 30-year-old woman with known type 1 diabetes for 12 years, visited her GP complaining of tiredness and weight gain. Her HbA1c levels over the past 7 years have ranged between 6.4 and 7.1%, but her most recent test showed an HbA1c of 8.3%. Her diet has not changed but she is undertaking less exercise due to extreme fatigue. The dose of her insulin has not changed. Her skin is getting very dry, she is feeling constantly cold and her hair is becoming coarse and brittle. Also, she has had recent problems with menstrual irregularities and has been constipated.
Examination On examination, she indeed has dry skin and inspection of her face reveals periorbital puffiness. Her pulse is slow at 52 beats/min regular and she has slow relaxing reflexes. Neck palpation reveals no goitre. What is your diagnosis so far and what tests would you request? *This case is from Docplexus Editorial Team for…
