See our ‘Diagnosis of Hypopara’ page to read about the tests you need to diagnose hypoparathyroidism.
Hypoparathyroidism is indicated by low serum calcium, low serum PTH and high serum phosphate.
At your regular appointments all or some of the following will be monitored:
- serum calcium
- serum albumin
- serum magnesium
- serum 25-hydroxyvitamin D
- serum phosphorus
- serum creatinine
- liver function tests
- serum free T4, thyrotropin
- full blood count
- serum iron, transferrin, ferritin
Less often, you should have the following:
- 24-hour urine calcium, creatinine
- 24-hour magnesium, creatinine
- ECG
- kidney scan
- DEXA bone density scan
Other investigations may might include:
- eye test
- hearing test
- renal imaging
- gene sequencing test
Search to find out about any test here https://labtestsonline.org.uk/tests/calcium-test
How often should I be monitored?
The European Society of Endocrinology and the writing group for the First International Conference on the Management of Hypoparathyroidism have published guidelines for monitoring adult patients with chronic hypoparathyroidism, summarising the evidence to date (see the table below). (BMJ https://bestpractice.bmj.com/topics/en-gb/132/monitoring)
