Go to page content

Overactive thyroid in diabetes

Overactive thyroid is associated with a variety of symptoms, including elevated blood sugar and weight loss.

A picture of a neck with an enlargement of the thyroid visible on the right side.
One cause of overactive thyroid can be goiter or nodular goiter, where the thyroid generally enlarges noticeably.

The most common cause for overactive thyroid (hyperthyroidism) is Basedow’s disease. The disease is characterised by an increase in the thyroid hormone level resulting from antibodies that stimulate the thyroid. Basedow’s disease can include eye symptoms, such as sensitivity to light, swelling, lachrymation or the flow of tears, double vision and the eyes bulging outwards. The eye symptoms are caused by an autoimmune infection of the tissues behind the eye.

Some less common reasons include overactivity related to multinodular goitre or goitre. Thyroiditis can also involve a temporary increase in the blood thyroid hormone level.

If the overacitivity is not treated, the need for insulin increases and there is a higher risk of osteoporosis. Weight loss can be significant. The blood sugar-lowering medication or insulin dose needs to be increased at the overactivity stage.

Most common symptoms of an overactive thyroid:

  • Sweating

  • Heart palpitations or cardiac arrhythmia

  • Shaking

  • Accelerated bowel functions and diarrhoea

  • Hair loss

  • Weight loss

  • Deterioration of general condition

  • Tiredness

  • Feeling hot or warm skin

  • Low heat tolerance

The treatment of an overactive thyroid is planned by an endocrinologist or a specialist in internal medicine with relevant expertise.

Updated 8.11.2023