Quality of Life Issues in Graves' Disease
Quality of life can be significantly impacted by a diagnosis of Graves' disease (GD) or Graves' ophthalmopathy. Since thyroid levels influence so many functions of the body, it is very important for patients to be compliant in taking medications and scheduling follow-up appointments as directed by their health care provider. It is advisable to immediately report any changes in symptoms to your physician since it may reflect the need to adjust medication dosages.
Symptom relief is usually not immediate and is achieved over time as the treatments take effect. In addition, not all symptoms may resolve at the same time. As with many illnesses, depression can occur during or following successful treatment of Graves' disease. Signs and symptoms should be discussed with the health care provider so that appropriate treatment may be provided as soon as possible.
Weight control is very important in patients being treated for Graves' disease. Patients must adjust from being able to eat a high calorie diet without gaining weight to watching their calorie intake and easier weight gain. They may need to be more mindful of a healthy diet and learn new eating habits. Some patients with Graves' disease experience an elevation of cholesterol levels. It is important for these patients to monitor their fat intake. Patients with Graves' disease who experience edema may be advised to limit their salt intake.
Exercise is important for patients with Graves' disease, particularly weight bearing exercises since these protect against osteoporosis and promote the maintenance of bone density. Exercise also strengthens the heart, improves circulation and muscle tone, and increases energy levels.
According to one study that examined the quality of life of patients with Graves' ophthalmopathy, even several years after treatment patients still experienced problems relating to visual function, self image, and psychosocial functioning due to changes in their physical appearance or overall health. Several patients described limitations in driving an automobile and limitations in participating in leisure activities, as well as feeling socially isolated. Six years after treatment, almost 50% of these patients felt that their eyes were still abnormal and about 40% were dissatisfied with the appearance of their eyes. These findings suggest that Graves' ophthalmopathy is a chronic condition whose effects may last long after treatment ceases.
Since Graves' disease and Graves' ophthalmopathy can significantly impair a patient's quality of life, identifying and maintaining emotional support systems (e.g., family, friends, support groups, organizations) can help patients and their families better cope with this illness. Open communication with health care professionals and reporting any changes can be highly beneficial in maximizing a healthy life style and outlook on life.
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