Thyroid dysfunction are common among diabetic patients and postmenopausal women, the symptoms of thyroid disease and menopause may be very similar necessitating screening, Also thyrotoxicosis may present with depression, etc.[apathetic]. Hypothyroidism [either clinical or subclinical] is commoner among patients with type1&2 diabetes, furthermore hypothyroidism is associated with insulin resistance and may speed the progression from prediabetes to overt diabetes.