Thyroid disease

Epidemiology and Risk Factors of Hyperglycemic Events and Complications Among Patients With Graves’ Disease or Thyroid Eye Disease in the United States

Endocr PractPublished Retrospective cohort study

Authors' conclusion

TED and GD are independently associated with elevated risk of hyperglycemic events and complications.

Study context

Population
Adults (≥18 years) with thyroid eye disease (TED), Graves' disease (GD) or from the general population (GP), Merative MarketScan Research Claims Database (2014–2019), US
Participants
38,723 / 171,831 / 20,283,009
Exposure
TED or GD vs general population
  • TEDn = 38,723
  • GDn = 171,831
  • GPn = 20,283,009reference
Outcome
Composite of:
  • Hyperglycemic events
  • Complications (nephropathy, neuropathy, retinopathy, ketoacidosis, prediabetes, impaired fasting glucose, hyperosmolarity)
Methodological detailsclaims database, age- and sex-standardized
  • Claims database
  • Age- and sex-standardized

Main finding

As reported in the abstract

Cumulative incidence of composite outcome

Hazard ratio

1.6

TED

Hazard ratio

1.6

GD

Observational data: associations, not effects.

Further findings

Incidence of composite outcome

Prevalence of composite outcome

Additional predictors

Additional predictors included diabetes, advanced age, obesity, hypertension, and statin use

Original publication

Epidemiology and Risk Factors of Hyperglycemic Events and Complications Among Patients With Graves’ Disease or Thyroid Eye Disease in the United States. Endocr Pract. Published 17 February 2026. doi:10.1016/j.eprac.2026.02.010

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