Other causes add a toxic multinodular goitre, toxic adenoma and thyroiditis. A technetium-99m nuclear thyroid uptake scan and measurement of thyroid receptor antibodies are the most useful preliminary investigations for identifying the reason for hyperthyroidism, if it’s not apparent clinically. Treatment of hyperthyroidism usually involves antithyroid medicines , radioactive iodine or total thyroidectomy. Careful up-titration of thyroxine dose is usually required in treatment of hypothyroidism. Thyroid dysfunction in pregnancy is an important clinical situation and requires specialist involvement. Treatment of subclinical thyroid dysfunction is certainly controversial.. A guide to thyroid dysfunction Thyroid dysfunction is common but can present both diagnostic and management challenges.The first meal-priming bolus of every type was predicated on the patient’s fat . Insulin and glucagon were administered subcutaneously by t:slim infusion pumps , that have been controlled by the iPhone wirelessly. The control algorithm received continuous glucose-monitoring data and commanded dosing every five minutes. The system was initialized with the use of the patient’s weight only; no information about the patient’s typical insulin regimen was supplied to the algorithm, which adapted insulin dosing online automatically.